| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $52.05 | $52.05 | $64.34 |
Providence
| Facility | 26 | $52.05 | $52.05 | $64.34 |
Quantitative differential pulmonary perfusion, including imaging when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $52.05 | $52.05 | $64.34 |
Providence
| Facility | 26 | $52.05 | $52.05 | $64.34 |