| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.22 | $46.04 | $98.06 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Kaiser Permanente
| Professional | 26 | $23.25 | $37.07 | $82.35 |
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 | $19.22 | $46.04 | $98.06 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Kaiser Permanente
| Professional | 26 | $23.25 | $37.07 | $82.35 |