| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Providence
| Facility | $1.05 | $1.05 | $1.05 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 | |
United
| Professional | $66.07 | $66.07 | $66.07 |
Iodine I-131 sodium iodide solution, diagnostic, per mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Providence
| Facility | $1.05 | $1.05 | $1.05 | |
Providence
| Professional | $60.26 | $79.43 | $85.11 | |
United
| Professional | $66.07 | $66.07 | $66.07 |