| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $20.42 | $20.42 | |
Aetna
| Professional | $12.02 | $12.02 | $12.02 | |
Medica
| Facility | $17.38 | $20.42 | $33.11 |
Unlisted in vivo (eg, transcutaneous) laboratory service
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $20.42 | $20.42 | |
Aetna
| Professional | $12.02 | $12.02 | $12.02 | |
Medica
| Facility | $17.38 | $20.42 | $33.11 |