| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $903.21 | $903.21 | $903.21 | |
Cigna
| Professional | $903.21 | $903.21 | $903.21 | |
United
| Professional | $850.08 | $885.50 | $1,328.25 |
Indium In-111 pentetate, diagnostic, per 0.5 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $903.21 | $903.21 | $903.21 | |
Cigna
| Professional | $903.21 | $903.21 | $903.21 | |
United
| Professional | $850.08 | $885.50 | $1,328.25 |