| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.72 | $206.72 | $206.72 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
Anthem BCBS
| Professional | $48.93 | $57.57 | $57.57 |
Tc99m Fanolesomab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.72 | $206.72 | $206.72 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
Anthem BCBS
| Professional | $48.93 | $57.57 | $57.57 |