| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.25 | $18.67 | $26.40 | |
Aetna
| Professional | $1.10 | $2.94 | $2.94 | |
Cigna
| Professional | $10.81 | $10.88 | $13.59 | |
Medica
| Facility | $2.64 | $5.32 | $19.23 |
Tc-99m From Non-Highly Enriched Uranium Source Full Cost Recovery Add-On Per Study Dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.25 | $18.67 | $26.40 | |
Aetna
| Professional | $1.10 | $2.94 | $2.94 | |
Cigna
| Professional | $10.81 | $10.88 | $13.59 | |
Medica
| Facility | $2.64 | $5.32 | $19.23 |