| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.58 | $70.58 | $70.58 |
Health Alliance Plan
| Facility | 26 | $63.98 | $63.98 | $70.58 |
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 | $70.58 | $70.58 | $70.58 |
Health Alliance Plan
| Facility | 26 | $63.98 | $63.98 | $70.58 |