| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
Anthem BCBS
| Professional | $51.81 | $51.81 | $99,999.99 | |
Martin's Point
| Professional | $206.72 | $206.72 | $206.72 |
Tc99m Fanolesomab
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
Anthem BCBS
| Professional | $51.81 | $51.81 | $99,999.99 | |
Martin's Point
| Professional | $206.72 | $206.72 | $206.72 |