| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.63 | $14.63 | $18.28 | |
Medcost
| Professional | $13.48 | $13.48 | $14.70 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Assay of ethanol
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $14.63 | $14.63 | $18.28 | |
Medcost
| Professional | $13.48 | $13.48 | $14.70 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |