| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.44 | $72.44 | $72.44 |
Health Alliance Plan
| Facility | 26 | $63.10 | $154.88 | $169.82 |
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 | $72.44 | $72.44 | $72.44 |
Health Alliance Plan
| Facility | 26 | $63.10 | $154.88 | $169.82 |