| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,258.93 | $1,698.24 | $2,187.76 | |
Providence
| Facility | $1,258.93 | $1,698.24 | $2,951.21 |
Level 3 Nuclear Medicine and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,258.93 | $1,698.24 | $2,187.76 | |
Providence
| Facility | $1,258.93 | $1,698.24 | $2,951.21 |