| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $392.97 | $392.97 | $392.97 | |
Medica
| Facility | $177.15 | $847.20 | $1,004.93 | |
United
| Facility | $305.77 | $305.77 | $305.77 |
Unlisted Hematop Ret/Endo&Lymphatic Dx Nuc Med
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $392.97 | $392.97 | $392.97 | |
Medica
| Facility | $177.15 | $847.20 | $1,004.93 | |
United
| Facility | $305.77 | $305.77 | $305.77 |