| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,259.08 | $1,712.21 | $2,210.71 | |
Providence
| Facility | $1,259.08 | $1,712.21 | $3,015.94 |
Level 3 Nuclear Medicine and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,259.08 | $1,712.21 | $2,210.71 | |
Providence
| Facility | $1,259.08 | $1,712.21 | $3,015.94 |