| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.17 | $18.66 | $77.39 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $68.54 |
Florida Blue
| Facility | 26 | $24.98 | $24.98 | $24.98 |
Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.17 | $18.66 | $77.39 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $68.54 |
Florida Blue
| Facility | 26 | $24.98 | $24.98 | $24.98 |