| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $54.95 | $54.95 | $54.95 |
Radiopharmaceutical, diagnostic, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $54.95 | $54.95 | $54.95 |