| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.00 | $19.00 | $23.75 | |
Moda Health
| Facility | $10.84 | $10.84 | $10.84 | |
Providence
| Facility | $10.84 | $10.84 | $10.84 |
Antibody Lymphogranuloma Venereum
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $19.00 | $19.00 | $23.75 | |
Moda Health
| Facility | $10.84 | $10.84 | $10.84 | |
Providence
| Facility | $10.84 | $10.84 | $10.84 |