| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20.32 | $53.55 | $71.61 | |
Medica
| Facility | $12.06 | $12.06 | $12.06 |
Unlisted In Vivo Labortory Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20.32 | $53.55 | $71.61 | |
Medica
| Facility | $12.06 | $12.06 | $12.06 |