| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.79 | $114.92 | $116.95 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |
Radiopharmaceutical, diagnostic, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.79 | $114.92 | $116.95 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |