| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.14 | $62.14 | $62.14 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
United
| Professional | $26.10 | $26.10 | $62.14 |
Drug assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM), with drug or metabolite description, includes sample validation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.14 | $62.14 | $62.14 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
United
| Professional | $26.10 | $26.10 | $62.14 |