| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.78 | $172.31 | $220.40 |
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.78 | $172.31 | $220.40 |