| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $15.69 | $15.85 | $19.93 | |
Medica
| Facility | $8.58 | $8.58 | $18.57 | |
Medica
| Professional | $13.58 | $13.58 | $13.58 |
Mucopolysaccharides, acid; screen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $15.69 | $15.85 | $19.93 | |
Medica
| Facility | $8.58 | $8.58 | $18.57 | |
Medica
| Professional | $13.58 | $13.58 | $13.58 |