| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.56 | $30.56 | $38.20 | |
Hometown Health
| Professional | $6.69 | $6.69 | $190.00 | |
Hometown Health
| Professional | $6.69 | $6.69 | $6.69 |
Opiate(S) Drug And Metabolites Each Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.56 | $30.56 | $38.20 | |
Hometown Health
| Professional | $6.69 | $6.69 | $190.00 | |
Hometown Health
| Professional | $6.69 | $6.69 | $6.69 |