| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.18 | $70.18 | $97.45 |
Cigna
| Facility | 26 | $122.55 | $139.26 | $219.69 |
Quartz
| Facility | 26 | $224.82 | $224.82 | $224.82 |
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.18 | $70.18 | $97.45 |
Cigna
| Facility | 26 | $122.55 | $139.26 | $219.69 |
Quartz
| Facility | 26 | $224.82 | $224.82 | $224.82 |