| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $128.77 | $212.85 |
Hally Health
| Professional | 26 | $74.29 | $109.42 | $252.94 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Pet Imaging Limited Area Chest Head/Neck
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $128.77 | $212.85 |
Hally Health
| Professional | 26 | $74.29 | $109.42 | $252.94 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |