| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.74 | $13.74 | $13.74 |
Kaiser Permanente
| Professional | 26 | $17.02 | $21.21 | $28.80 |
Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.74 | $13.74 | $13.74 |
Kaiser Permanente
| Professional | 26 | $17.02 | $21.21 | $28.80 |