| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $95.19 | $125.00 | $250.00 |
Lucent Health
| Facility | 26 | $178.70 | $363.33 | $363.33 |
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 | $95.19 | $125.00 | $250.00 |
Lucent Health
| Facility | 26 | $178.70 | $363.33 | $363.33 |