| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $63.10 | $63.10 | $63.10 |
Radiopharmaceutical, diagnostic, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $63.10 | $63.10 | $63.10 |