| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.75 | $22.39 | $40.74 | |
Aetna
| Professional | $2.00 | $2.00 | $3.98 | |
United
| Facility | $10.00 | $10.00 | $12.02 |
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 | $11.75 | $22.39 | $40.74 | |
Aetna
| Professional | $2.00 | $2.00 | $3.98 | |
United
| Facility | $10.00 | $10.00 | $12.02 |