| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $200.00 | $200.00 | $375.00 |
Lucent Health
| Facility | 26 | $188.78 | $384.32 | $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 | $200.00 | $200.00 | $375.00 |
Lucent Health
| Facility | 26 | $188.78 | $384.32 | $384.32 |