| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Facility | $546.91 | $1,150.19 | $1,232.66 |
Ungroupable
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Facility | $546.91 | $1,150.19 | $1,232.66 |