| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $12.65 | $27.59 | $51.24 | |
Priority Health
| Facility | $12.65 | $33.79 | $67.13 |
Unlisted In Vivo Labortory Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $12.65 | $27.59 | $51.24 | |
Priority Health
| Facility | $12.65 | $33.79 | $67.13 |