| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Hometown Health
| Professional | $3.94 | $3.94 | $190.00 | |
Hometown Health
| Professional | $3.94 | $3.94 | $3.94 |
Barbiturates Not Elsewhere Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
Hometown Health
| Professional | $3.94 | $3.94 | $190.00 | |
Hometown Health
| Professional | $3.94 | $3.94 | $3.94 |