| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.94 | $2.94 | |
BCBS
| Facility | $17.87 | $21.70 | $25.97 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
United
| Professional | $0.13 | $0.13 | $0.13 |
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
| Professional | $1.00 | $2.94 | $2.94 | |
BCBS
| Facility | $17.87 | $21.70 | $25.97 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
United
| Professional | $0.13 | $0.13 | $0.13 |