| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $166.21 |
Cigna
| Facility | 26 | $206.36 | $234.50 | $369.92 |
Quartz
| Facility | 26 | $354.23 | $354.23 | $354.23 |
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 | $100.00 | $166.21 |
Cigna
| Facility | 26 | $206.36 | $234.50 | $369.92 |
Quartz
| Facility | 26 | $354.23 | $354.23 | $354.23 |