| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.43 | $125.89 | $309.03 |
AllWays Health Partners
| Facility | 26 | $181.97 | $251.19 | $501.19 |
Mass General Brigham
| Facility | 26 | $181.97 | $251.19 | $501.19 |
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 | $79.43 | $125.89 | $309.03 |
AllWays Health Partners
| Facility | 26 | $181.97 | $251.19 | $501.19 |
Mass General Brigham
| Facility | 26 | $181.97 | $251.19 | $501.19 |