| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.94 | $11.90 | $30.35 | |
Aetna
| Professional | $1.90 | $2.94 | $2.94 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Medica
| Facility | $0.50 | $3.09 | $10.00 |
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 | $2.94 | $11.90 | $30.35 | |
Aetna
| Professional | $1.90 | $2.94 | $2.94 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Medica
| Facility | $0.50 | $3.09 | $10.00 |