| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $143.16 | $346.33 | $432.89 |
Medica
| Facility | 26 | $244.48 | $460.18 | $460.18 |
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $143.16 | $346.33 | $432.89 |
Medica
| Facility | 26 | $244.48 | $460.18 | $460.18 |