| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.76 | $142.19 | $233.97 |
Medica
| Facility | 26 | $244.48 | $244.48 | $244.48 |
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.76 | $142.19 | $233.97 |
Medica
| Facility | 26 | $244.48 | $244.48 | $244.48 |