| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.38 | $20.38 | $34.09 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Peritoneogram Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.38 | $20.38 | $34.09 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |