| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.19 | $25.19 | $31.49 | |
Hometown Health
| Professional | $5.49 | $5.49 | $190.00 | |
Hometown Health
| Professional | $5.49 | $5.49 | $5.49 |
Lab & Path-Chemistry
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.19 | $25.19 | $31.49 | |
Hometown Health
| Professional | $5.49 | $5.49 | $190.00 | |
Hometown Health
| Professional | $5.49 | $5.49 | $5.49 |