| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.00 | $167.00 | $167.00 | |
Aetna
| Professional | $12.06 | $12.06 | $12.06 | |
Cigna
| Facility | $3.13 | $4.42 | $92.00 |
Unlisted In Vivo Labortory Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.00 | $167.00 | $167.00 | |
Aetna
| Professional | $12.06 | $12.06 | $12.06 | |
Cigna
| Facility | $3.13 | $4.42 | $92.00 |