| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.68 | $92.39 | $180.79 |
Kaiser Permanente
| Professional | 26 | $21.79 | $25.23 | $47.99 |
Peritoneogram Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.68 | $92.39 | $180.79 |
Kaiser Permanente
| Professional | 26 | $21.79 | $25.23 | $47.99 |