| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $275.42 | $346.74 | $380.19 |
Medica
| Facility | 26 | $190.55 | $354.81 | $354.81 |
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 | $275.42 | $346.74 | $380.19 |
Medica
| Facility | 26 | $190.55 | $354.81 | $354.81 |