| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.50 | $150.00 | $218.23 | |
Hometown Health
| Professional | $1.50 | $1.50 | $138.12 |
Medic-Special Otorhinolary Ser
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $1.50 | $150.00 | $218.23 | |
Hometown Health
| Professional | $1.50 | $1.50 | $138.12 |