| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.86 | $103.86 | $103.86 |
Sanford Health Plan
| Professional | 26 | $130.63 | $172.49 | $196.66 |
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.86 | $103.86 | $103.86 |
Sanford Health Plan
| Professional | 26 | $130.63 | $172.49 | $196.66 |