| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $19.26 | $19.26 | |
Anthem BCBS
| Professional | $21.00 | $104.00 | $138.00 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
United
| Professional | $75.00 | $75.00 | $75.00 |
Radiopharmaceutical Diagnostic Not Otherwise Classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.11 | $19.26 | $19.26 | |
Anthem BCBS
| Professional | $21.00 | $104.00 | $138.00 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
United
| Professional | $75.00 | $75.00 | $75.00 |