| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48,380.16 | $48,380.16 | $48,380.16 |
Radiopharm Rx Agent Noc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48,380.16 | $48,380.16 | $48,380.16 |