| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.32 | $15.49 | $45.71 | |
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
Ambetter
| Professional | $3.89 | $3.89 | $3.89 | |
United
| Facility | $6.03 | $6.31 | $8.51 |
Tc-99m from nonhighly enriched uranium source, full cost recovery add-on, per study dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.32 | $15.49 | $45.71 | |
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
Ambetter
| Professional | $3.89 | $3.89 | $3.89 | |
United
| Facility | $6.03 | $6.31 | $8.51 |