| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $1,200.00 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |
Positron emission tomography radiopharmaceutical, diagnostic, for nontumor identification, not otherwise classified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $1,200.00 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |