| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.65 | $101.65 | $101.65 | |
Cigna
| Professional | $80.29 | $80.29 | $80.29 | |
HMSA
| Professional | $12.00 | $12.00 | $12.57 | |
United
| Professional | $55.99 | $180.84 | $214.54 |
Iodine I-131 sodium iodide capsule(s), diagnostic, per mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.65 | $101.65 | $101.65 | |
Cigna
| Professional | $80.29 | $80.29 | $80.29 | |
HMSA
| Professional | $12.00 | $12.00 | $12.57 | |
United
| Professional | $55.99 | $180.84 | $214.54 |