| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $213.67 | $213.67 | $213.67 | |
Midlands
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $19.86 | $19.86 | $19.86 |
Radiopharmaceutical Diagnostic Not Otherwise Classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $213.67 | $213.67 | $213.67 | |
Midlands
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $19.86 | $19.86 | $19.86 |