| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.11 | $19.11 | $19.11 |
Kaiser Permanente
| Professional | 26 | $21.79 | $26.39 | $38.79 |
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 | $19.11 | $19.11 | $19.11 |
Kaiser Permanente
| Professional | 26 | $21.79 | $26.39 | $38.79 |