| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.00 | $19.00 | $23.75 | |
Hometown Health
| Professional | $4.11 | $4.11 | $190.00 | |
Hometown Health
| Professional | $4.11 | $4.11 | $4.11 |
Antibody Lymphogranuloma Venereum
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.00 | $19.00 | $23.75 | |
Hometown Health
| Professional | $4.11 | $4.11 | $190.00 | |
Hometown Health
| Professional | $4.11 | $4.11 | $4.11 |