| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $220.65 |
Hally Health
| Professional | 26 | $77.23 | $105.84 | $219.69 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Myocrd Img Pet Prfuj 1std Rest/Stress Cncrnt Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $220.65 |
Hally Health
| Professional | 26 | $77.23 | $105.84 | $219.69 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |