| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.06 | $12.06 | $12.06 | |
Medica
| Facility | $17.25 | $20.38 | $33.04 |
Unlisted In Vivo Labortory Service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.06 | $12.06 | $12.06 | |
Medica
| Facility | $17.25 | $20.38 | $33.04 |