| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.54 | $24.41 | $28.71 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Kaiser Permanente
| Professional | 26 | $23.40 | $25.52 | $29.78 |
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 | $21.54 | $24.41 | $28.71 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Kaiser Permanente
| Professional | 26 | $23.40 | $25.52 | $29.78 |