| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.34 | $75.34 | $75.34 |
Health Alliance Plan
| Facility | 26 | $49.95 | $49.95 | $75.34 |
Myocardial Perfusion Planar Multiple Studies
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.34 | $75.34 | $75.34 |
Health Alliance Plan
| Facility | 26 | $49.95 | $49.95 | $75.34 |