| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,031.00 | $3,031.00 | $3,031.00 | |
Moda Health
| Facility | $4,334.33 | $4,334.33 | $4,334.33 | |
Providence
| Facility | $4,334.33 | $4,334.33 | $4,334.33 |
PET imaging whole body; melanoma for noncovered indications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,031.00 | $3,031.00 | $3,031.00 | |
Moda Health
| Facility | $4,334.33 | $4,334.33 | $4,334.33 | |
Providence
| Facility | $4,334.33 | $4,334.33 | $4,334.33 |