| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $173.78 | |
Aetna
| Professional | $81.28 | $89.13 | $302.00 | |
Cigna
| Facility | $32.36 | $32.36 | $32.36 | |
Cigna
| Professional | $104.71 | $104.71 | $131.83 |
Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $173.78 | |
Aetna
| Professional | $81.28 | $89.13 | $302.00 | |
Cigna
| Facility | $32.36 | $32.36 | $32.36 | |
Cigna
| Professional | $104.71 | $104.71 | $131.83 |