| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.71 | $18.62 | $26.92 | |
Aetna
| Professional | $2.00 | $2.00 | $5.01 | |
Cigna
| Professional | $10.96 | $10.96 | $13.49 | |
Medica
| Facility | $3.55 | $6.76 | $8.91 |
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 | $8.71 | $18.62 | $26.92 | |
Aetna
| Professional | $2.00 | $2.00 | $5.01 | |
Cigna
| Professional | $10.96 | $10.96 | $13.49 | |
Medica
| Facility | $3.55 | $6.76 | $8.91 |