| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $12.02 | $12.02 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Providence
| Facility | $22.91 | $22.91 | $22.91 |
Unlisted in vivo (eg, transcutaneous) laboratory service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $12.02 | $12.02 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Providence
| Facility | $22.91 | $22.91 | $22.91 |