| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.16 | $2,000.00 | $2,000.00 | |
Moda Health
| Facility | $199.16 | $2,000.00 | $2,860.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |
PET imaging whole body; melanoma for noncovered indications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.16 | $2,000.00 | $2,000.00 | |
Moda Health
| Facility | $199.16 | $2,000.00 | $2,860.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |