| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16,218.10 | $16,595.87 | $16,595.87 | |
Cigna
| Professional | $16,595.87 | $16,595.87 | $16,595.87 | |
United
| Professional | $15,488.17 | $16,218.10 | $38,018.94 |
Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 mCi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16,218.10 | $16,595.87 | $16,595.87 | |
Cigna
| Professional | $16,595.87 | $16,595.87 | $16,595.87 | |
United
| Professional | $15,488.17 | $16,218.10 | $38,018.94 |