| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.86 | $1.86 | $323.59 | |
Hometown Health
| Professional | $1.86 | $1.86 | $1.86 |
Kidney Imaging Morphology Tomographic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.86 | $1.86 | $323.59 | |
Hometown Health
| Professional | $1.86 | $1.86 | $1.86 |