| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $15.69 | $15.69 | $19.62 | |
Medcost
| Facility | $6.77 | $14.78 | $19.26 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Mucopolysaccharides, acid; screen
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $15.69 | $15.69 | $19.62 | |
Medcost
| Facility | $6.77 | $14.78 | $19.26 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |