| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.98 | $38.02 | $87.10 |
AllWays Health Partners
| Facility | 26 | $23.99 | $53.70 | $138.04 |
Mass General Brigham
| Facility | 26 | $23.99 | $53.70 | $138.04 |
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 | $16.98 | $38.02 | $87.10 |
AllWays Health Partners
| Facility | 26 | $23.99 | $53.70 | $138.04 |
Mass General Brigham
| Facility | 26 | $23.99 | $53.70 | $138.04 |