| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.22 | $22.28 | $22.28 |
Kaiser Permanente
| Professional | 26 | $27.59 | $34.38 | $46.68 |
Peritoneogram Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.22 | $22.28 | $22.28 |
Kaiser Permanente
| Professional | 26 | $27.59 | $34.38 | $46.68 |