| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.13 | $102.13 | $128.68 |
Health Alliance Plan
| Facility | 26 | $84.83 | $84.83 | $107.23 |
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.13 | $102.13 | $128.68 |
Health Alliance Plan
| Facility | 26 | $84.83 | $84.83 | $107.23 |