| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.34 | $36.34 | $36.34 | |
Aetna
| Professional | $24.96 | $26.23 | $26.23 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
United
| Professional | $11.06 | $15.17 | $31.60 |
Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of capacitated sperm and probability of generating a pregnancy score
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.34 | $36.34 | $36.34 | |
Aetna
| Professional | $24.96 | $26.23 | $26.23 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
United
| Professional | $11.06 | $15.17 | $31.60 |