| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.98 | $142.41 | $838.34 | |
BCBS
| Professional | $113.94 | $142.41 | $142.41 | |
Medica
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |
Positron emission tomography radiopharmaceutical, diagnostic, for nontumor identification, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $0.98 | $142.41 | $838.34 | |
BCBS
| Professional | $113.94 | $142.41 | $142.41 | |
Medica
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |