| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.48 | $73.95 | $148.61 |
Kaiser Permanente
| Professional | 26 | $35.70 | $56.90 | $252.96 |
Quantitative differential pulmonary perfusion, including imaging when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.48 | $73.95 | $148.61 |
Kaiser Permanente
| Professional | 26 | $35.70 | $56.90 | $252.96 |