| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,521.23 | $2,521.23 | $2,744.10 | |
Cigna
| Professional | $3,384.12 | $3,384.12 | $3,384.12 | |
United
| Professional | $3,360.00 | $4,200.00 | $6,300.00 |
Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,521.23 | $2,521.23 | $2,744.10 | |
Cigna
| Professional | $3,384.12 | $3,384.12 | $3,384.12 | |
United
| Professional | $3,360.00 | $4,200.00 | $6,300.00 |