| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.51 | $81.52 | $296.10 | |
Cigna
| Professional | $105.73 | $105.73 | $132.16 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |
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
| Professional | $81.51 | $81.52 | $296.10 | |
Cigna
| Professional | $105.73 | $105.73 | $132.16 | |
Providence
| Professional | $2,400,000.00 | $2,400,000.00 | $2,400,000.00 |