| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,678.73 | $2,946.60 | $6,097.60 | |
Cigna
| Facility | $1,619.00 | $3,357.00 | $4,737.00 | |
Pacific Source
| Facility | $78.20 | $357.68 | $965.60 |
Other Imaging Services - Positron Emission Tomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $2,678.73 | $2,946.60 | $6,097.60 | |
Cigna
| Facility | $1,619.00 | $3,357.00 | $4,737.00 | |
Pacific Source
| Facility | $78.20 | $357.68 | $965.60 |