| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $109.89 | $109.89 | $135.85 |
Providence
| Facility | 26 | $109.89 | $109.89 | $135.85 |
Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $109.89 | $109.89 | $135.85 |
Providence
| Facility | 26 | $109.89 | $109.89 | $135.85 |