| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $194.98 | $194.98 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $79.43 | $79.43 | $117.49 | |
Highmark BCBS
| Facility | $165.96 | $165.96 | $165.96 |
Radiopharmaceutical, diagnostic, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $194.98 | $194.98 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $79.43 | $79.43 | $117.49 | |
Highmark BCBS
| Facility | $165.96 | $165.96 | $165.96 |