| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.82 | $315.70 | $361.23 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Medica
| Facility | $100.00 | $100.00 | $167.37 |
Radiopharmaceutical Diagnostic Not Otherwise Classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.82 | $315.70 | $361.23 | |
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Medica
| Facility | $100.00 | $100.00 | $167.37 |