| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,406.75 | $1,913.02 | $2,470.00 | |
Providence
| Facility | $1,406.75 | $1,913.02 | $3,369.67 |
Level 4 Nuclear Medicine and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,406.75 | $1,913.02 | $2,470.00 | |
Providence
| Facility | $1,406.75 | $1,913.02 | $3,369.67 |