| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.18 | $125.89 | $154.88 |
Lucent Health
| Facility | 26 | $776.25 | $776.25 | $776.25 |
Moda Health
| Facility | 26 | $125.89 | $125.89 | $154.88 |
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 | $69.18 | $125.89 | $154.88 |
Lucent Health
| Facility | 26 | $776.25 | $776.25 | $776.25 |
Moda Health
| Facility | 26 | $125.89 | $125.89 | $154.88 |