| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.20 | $120.00 | $161.12 |
Medica
| Facility | 26 | $780.00 | $780.00 | $780.00 |
Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.20 | $120.00 | $161.12 |
Medica
| Facility | 26 | $780.00 | $780.00 | $780.00 |