| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.54 | $27.84 | $43.05 |
Lucent Health
| Facility | 26 | $80.39 | $163.63 | $163.63 |
Quantitative differential pulmonary perfusion, including imaging when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.54 | $27.84 | $43.05 |
Lucent Health
| Facility | 26 | $80.39 | $163.63 | $163.63 |