| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $125.00 | $647.79 |
Kaiser Permanente
| Professional | 26 | $101.93 | $222.80 | $222.80 |
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $125.00 | $647.79 |
Kaiser Permanente
| Professional | 26 | $101.93 | $222.80 | $222.80 |