| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.34 | $79.34 | $188.71 |
Cigna
| Facility | 26 | $90.01 | $90.01 | $90.01 |
Medcost
| Facility | 26 | $92.22 | $125.43 | $212.02 |
Wellcare
| Facility | 26 | $188.78 | $188.78 | $384.32 |
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 | $79.34 | $79.34 | $188.71 |
Cigna
| Facility | 26 | $90.01 | $90.01 | $90.01 |
Medcost
| Facility | 26 | $92.22 | $125.43 | $212.02 |
Wellcare
| Facility | 26 | $188.78 | $188.78 | $384.32 |