| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.48 | $17.48 | $64.45 |
AllWays Health Partners
| Facility | 26 | $51.41 | $54.00 | $129.00 |
Mass General Brigham
| Facility | 26 | $51.77 | $129.00 | $129.00 |
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 | $17.48 | $17.48 | $64.45 |
AllWays Health Partners
| Facility | 26 | $51.41 | $54.00 | $129.00 |
Mass General Brigham
| Facility | 26 | $51.77 | $129.00 | $129.00 |