| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.84 | $11.84 | $37.20 | |
Aetna
| Professional | $2.94 | $2.94 | $2.94 |
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 | $37.20 | |
Aetna
| Professional | $2.94 | $2.94 | $2.94 |