| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.00 | $27.51 | $108.51 |
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 | $23.00 | $27.51 | $108.51 |
Cigna
| Facility | 26 | $38.40 | $38.40 | $38.40 |