| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.45 | $524.81 | $724.44 | |
Aetna
| Professional | $12.88 | $114.82 | $251.19 | |
CareFirst
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 |
Radiopharmaceutical, diagnostic, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.45 | $524.81 | $724.44 | |
Aetna
| Professional | $12.88 | $114.82 | $251.19 | |
CareFirst
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 |