| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.98 | $200.00 | $244.00 |
Hometown Health
| Professional | 26 | $89.86 | $132.26 | $166.73 |
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.98 | $200.00 | $244.00 |
Hometown Health
| Professional | 26 | $89.86 | $132.26 | $166.73 |