| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $9.22 | $9.98 | $11.06 |
Hometown Health
| Professional | 26 | $0.12 | $12.13 | $17.20 |
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $9.22 | $9.98 | $11.06 |
Hometown Health
| Professional | 26 | $0.12 | $12.13 | $17.20 |