| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.79 | $176.79 | $195.84 | |
Cigna
| Professional | $79.34 | $79.34 | $116.19 | |
Highmark BCBS
| Facility | $161.06 | $161.06 | $161.06 |
Radiopharmaceutical Diagnostic Not Otherwise Classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.79 | $176.79 | $195.84 | |
Cigna
| Professional | $79.34 | $79.34 | $116.19 | |
Highmark BCBS
| Facility | $161.06 | $161.06 | $161.06 |