| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.06 | $12.06 | $12.06 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |
Unlisted In Vivo Labortory Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.06 | $12.06 | $12.06 | |
Wellpoint
| Professional | $750.00 | $750.00 | $750.00 |