| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.75 | $25.75 | $95.65 |
AllWays Health Partners
| Facility | 26 | $130.34 | $137.03 | $269.66 |
Mass General Brigham
| Facility | 26 | $130.34 | $269.66 | $269.66 |
Radiologic Exam Small Int Double Contrast Study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.75 | $25.75 | $95.65 |
AllWays Health Partners
| Facility | 26 | $130.34 | $137.03 | $269.66 |
Mass General Brigham
| Facility | 26 | $130.34 | $269.66 | $269.66 |