| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.18 | $15.18 | $15.18 | |
Aetna
| Professional | $4,569.60 | $4,569.60 | $4,569.60 | |
Anthem BCBS
| Professional | $0.02 | $15.25 | $15.25 |
Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.18 | $15.18 | $15.18 | |
Aetna
| Professional | $4,569.60 | $4,569.60 | $4,569.60 | |
Anthem BCBS
| Professional | $0.02 | $15.25 | $15.25 |