| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.44 | $47.30 | $56.76 |
Hometown Health
| Professional | 26 | $0.23 | $56.03 | $74.84 |
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.44 | $47.30 | $56.76 |
Hometown Health
| Professional | 26 | $0.23 | $56.03 | $74.84 |