| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.05 | $103.38 | $212.11 |
Kaiser Permanente
| Professional | 26 | $33.50 | $72.95 | $72.95 |
Quantitative differential pulmonary perfusion, including imaging when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.05 | $103.38 | $212.11 |
Kaiser Permanente
| Professional | 26 | $33.50 | $72.95 | $72.95 |