| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.41 | $406.41 | $406.41 | |
BCBS
| Facility | $33.50 | $127.20 | $201.51 | |
BCBS
| Professional | $30.00 | $40.00 | $193.75 | |
Cigna
| Facility | $310.60 | $473.38 | $1,193.82 |
Unlisted miscellaneous procedure, diagnostic nuclear medicine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.41 | $406.41 | $406.41 | |
BCBS
| Facility | $33.50 | $127.20 | $201.51 | |
BCBS
| Professional | $30.00 | $40.00 | $193.75 | |
Cigna
| Facility | $310.60 | $473.38 | $1,193.82 |