| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.95 | $23.95 | $29.94 | |
Hometown Health
| Professional | $5.21 | $5.21 | $190.00 | |
Hometown Health
| Professional | $5.21 | $5.21 | $5.21 |
Cocaine/Metabolite
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $23.95 | $23.95 | $29.94 | |
Hometown Health
| Professional | $5.21 | $5.21 | $190.00 | |
Hometown Health
| Professional | $5.21 | $5.21 | $5.21 |