| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $23.99 | $25.70 | $30.90 | |
Cigna
| Professional | $36.31 | $36.31 | $45.71 | |
United
| Professional | $10.96 | $19.05 | $47.86 |
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 | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $23.99 | $25.70 | $30.90 | |
Cigna
| Professional | $36.31 | $36.31 | $45.71 | |
United
| Professional | $10.96 | $19.05 | $47.86 |