| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $104.71 | $125.89 | $251.19 |
Cigna
| Facility | 26 | $18.20 | $85.11 | $120.23 |
Univera
| Facility | 26 | $57.54 | $79.43 | $95.50 |
Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s], when performed); single study, at rest or stress (exercise or pharmacologic), with concurrently acquired computed tomography transmission scan
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $104.71 | $125.89 | $251.19 |
Cigna
| Facility | 26 | $18.20 | $85.11 | $120.23 |
Univera
| Facility | 26 | $57.54 | $79.43 | $95.50 |