| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.03 | $51.03 | $70.63 |
Cigna
| Facility | 26 | $88.31 | $100.35 | $158.31 |
Quartz
| Facility | 26 | $151.40 | $151.40 | $151.40 |
Quant Differential Pulm Perfusion W/Wo Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.03 | $51.03 | $70.63 |
Cigna
| Facility | 26 | $88.31 | $100.35 | $158.31 |
Quartz
| Facility | 26 | $151.40 | $151.40 | $151.40 |