| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $252.74 | $801.85 | $1,413.82 | |
Lucent Health
| Professional | $702.00 | $702.00 | $702.00 |
Unlisted miscellaneous procedure, diagnostic nuclear medicine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $252.74 | $801.85 | $1,413.82 | |
Lucent Health
| Professional | $702.00 | $702.00 | $702.00 |