| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.08 | $29.08 | $29.08 |
Kaiser Permanente
| Professional | 26 | $32.01 | $38.79 | $69.14 |
Quant Differential Pulm Perfusion W/Wo Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.08 | $29.08 | $29.08 |
Kaiser Permanente
| Professional | 26 | $32.01 | $38.79 | $69.14 |