Preview allows you to add the image to the PDF as a new page via drag and drop:
- Open the target PDF in Preview.
- Open the image in a new Preview window via
"File" menu > "New from Clipboard"
File > New from Clipboard. - In both windows, click
"View" menu > "Contact Sheet"
View > Contact Sheet. - Drag the image thumbnail from one window into the PDF thumbnails in the other window; the image will be added to the PDF as a new page.
This method also works if you want to add pages from one PDF into another.