| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.84 | $11.84 | $52.39 | |
Aetna
| Professional | $1.10 | $1.10 | $2.94 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 |
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 | $11.84 | $11.84 | $52.39 | |
Aetna
| Professional | $1.10 | $1.10 | $2.94 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 |