| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |
Radiopharmaceutical Diagnostic Not Otherwise Classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.34 | $79.34 | $79.34 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |