| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $285.94 | $356.65 | $427.30 | |
Hometown Health
| Professional | $0.50 | $103.72 | $151.25 | |
Hometown Health
| Professional | $0.50 | $129.65 | $141.59 |
Prolonged Svc Outpatient Setting Ea Addl 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $285.94 | $356.65 | $427.30 | |
Hometown Health
| Professional | $0.50 | $103.72 | $151.25 | |
Hometown Health
| Professional | $0.50 | $129.65 | $141.59 |