| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $135.69 | $250.00 |
Lucent Health
| Facility | 26 | $244.48 | $499.51 | $499.51 |
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 | $135.69 | $250.00 |
Lucent Health
| Facility | 26 | $244.48 | $499.51 | $499.51 |