| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.05 | $20.05 | $63.75 |
Hally Health
| Professional | 26 | $22.25 | $30.35 | $142.47 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Radiopharmaceutical Quantification Meas 1 Area
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.05 | $20.05 | $63.75 |
Hally Health
| Professional | 26 | $22.25 | $30.35 | $142.47 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |