| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.60 | $49.60 | $79.22 |
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.60 | $49.60 | $79.22 |