| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.75 | $303.75 | $303.75 | |
BCBS
| Professional | $97.00 | $97.00 | $97.00 | |
Cigna
| Professional | $41.95 | $79.34 | $79.34 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |
Radiopharmaceutical Diagnostic Not Otherwise Classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.75 | $303.75 | $303.75 | |
BCBS
| Professional | $97.00 | $97.00 | $97.00 | |
Cigna
| Professional | $41.95 | $79.34 | $79.34 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |