| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,928.10 | $2,928.10 | $2,928.10 | |
Priority Health
| Facility | $2,928.10 | $2,928.10 | $2,928.10 |
Level 3 Nuclear Medicine and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,928.10 | $2,928.10 | $2,928.10 | |
Priority Health
| Facility | $2,928.10 | $2,928.10 | $2,928.10 |