| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $140.00 | $234.39 |
Hally Health
| Professional | 26 | $82.04 | $112.20 | $233.37 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
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 | $140.00 | $234.39 |
Hally Health
| Professional | 26 | $82.04 | $112.20 | $233.37 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |