| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.42 | $80.42 | $80.42 |
Health Alliance Plan
| Facility | 26 | $57.35 | $57.35 | $80.42 |
Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.42 | $80.42 | $80.42 |
Health Alliance Plan
| Facility | 26 | $57.35 | $57.35 | $80.42 |