| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.62 | $89.13 | $104.71 |
Kaiser Permanente
| Professional | 26 | $87.10 | $95.50 | $109.65 |
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 | $77.62 | $89.13 | $104.71 |
Kaiser Permanente
| Professional | 26 | $87.10 | $95.50 | $109.65 |