| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Cigna
| Facility | $257.20 | $635.65 | $851.12 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
United
| Facility | $322.68 | $828.29 | $1,863.65 |
Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Cigna
| Facility | $257.20 | $635.65 | $851.12 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
United
| Facility | $322.68 | $828.29 | $1,863.65 |