| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.49 | $41.01 | $73.60 |
Cigna
| Facility | 26 | $38.40 | $38.40 | $38.40 |
Quantitative differential pulmonary perfusion, including imaging when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.49 | $41.01 | $73.60 |
Cigna
| Facility | 26 | $38.40 | $38.40 | $38.40 |
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