| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $106.63 | $342.11 | $895.75 |
Kaiser Permanente
| Professional | 26 | $120.82 | $139.90 | $262.83 |
Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $106.63 | $342.11 | $895.75 |
Kaiser Permanente
| Professional | 26 | $120.82 | $139.90 | $262.83 |