| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,739.65 | $3,739.65 | $3,739.65 | |
Cigna
| Professional | $3,739.65 | $3,739.65 | $3,739.65 | |
United
| Professional | $3,519.67 | $3,666.33 | $5,499.50 |
Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,739.65 | $3,739.65 | $3,739.65 | |
Cigna
| Professional | $3,739.65 | $3,739.65 | $3,739.65 | |
United
| Professional | $3,519.67 | $3,666.33 | $5,499.50 |