| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.44 | $517.22 | $723.25 | |
Aetna
| Professional | $13.31 | $13.31 | $250.39 | |
CareFirst
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 |
Radiopharmaceutical Diagnostic Not Otherwise Classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.44 | $517.22 | $723.25 | |
Aetna
| Professional | $13.31 | $13.31 | $250.39 | |
CareFirst
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 |