| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,210.58 | $5,210.58 | $5,210.58 | |
Cigna
| Professional | $5,210.58 | $5,210.58 | $5,210.58 | |
United
| Professional | $4,904.07 | $5,108.41 | $7,662.62 |
Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,210.58 | $5,210.58 | $5,210.58 | |
Cigna
| Professional | $5,210.58 | $5,210.58 | $5,210.58 | |
United
| Professional | $4,904.07 | $5,108.41 | $7,662.62 |