| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.11 | $83.27 | $106.08 |
Cigna
| Facility | 26 | $72.19 | $72.19 | $72.19 |
Medcost
| Facility | 26 | $92.24 | $92.24 | $167.34 |
Wellcare
| Facility | 26 | $149.31 | $201.25 | $308.94 |
Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.11 | $83.27 | $106.08 |
Cigna
| Facility | 26 | $72.19 | $72.19 | $72.19 |
Medcost
| Facility | 26 | $92.24 | $92.24 | $167.34 |
Wellcare
| Facility | 26 | $149.31 | $201.25 | $308.94 |