| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.20 | $33.59 | $40.31 |
Hometown Health
| Professional | 26 | $0.23 | $41.14 | $54.96 |
Quantitative differential pulmonary perfusion, including imaging when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.20 | $33.59 | $40.31 |
Hometown Health
| Professional | 26 | $0.23 | $41.14 | $54.96 |