| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $125.00 | $184.80 |
Cigna
| Facility | 26 | $90.01 | $90.01 | $90.01 |
Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study; with concurrently acquired computed tomography transmission scan
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $125.00 | $184.80 |
Cigna
| Facility | 26 | $90.01 | $90.01 | $90.01 |
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