| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $119.41 | $217.74 |
Hally Health
| Professional | 26 | $76.30 | $110.98 | $215.05 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Myocardial imaging, positron emission tomography (PET), metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), single study;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $119.41 | $217.74 |
Hally Health
| Professional | 26 | $76.30 | $110.98 | $215.05 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |