| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,614.00 | $3,614.00 | $3,614.00 |
Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,614.00 | $3,614.00 | $3,614.00 |