| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.25 | $38.25 | $38.25 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
United
| Professional | $36.00 | $37.50 | $56.25 |
Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 mcCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.25 | $38.25 | $38.25 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
United
| Professional | $36.00 | $37.50 | $56.25 |