| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.08 | $28.08 | $35.11 | |
Hometown Health
| Professional | $6.15 | $6.15 | $190.00 | |
Hometown Health
| Professional | $6.15 | $6.15 | $6.15 |
Drug Screen Quantitative Amitriptyline
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $28.08 | $28.08 | $35.11 | |
Hometown Health
| Professional | $6.15 | $6.15 | $190.00 | |
Hometown Health
| Professional | $6.15 | $6.15 | $6.15 |