| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.90 | $0.90 | $14.40 | |
Aetna
| Professional | $2.94 | $2.94 | $2.94 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Highmark BCBS
| Facility | $14.26 | $14.26 | $14.26 |
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 | $0.90 | $0.90 | $14.40 | |
Aetna
| Professional | $2.94 | $2.94 | $2.94 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Highmark BCBS
| Facility | $14.26 | $14.26 | $14.26 |