| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Hometown Health
| Professional | $7.05 | $7.05 | $190.00 | |
Hometown Health
| Professional | $7.05 | $7.05 | $7.05 |
Fc Receptor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.21 | $32.21 | $40.27 | |
Hometown Health
| Professional | $7.05 | $7.05 | $190.00 | |
Hometown Health
| Professional | $7.05 | $7.05 | $7.05 |