| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.35 | $54.65 | $106.71 |
Kaiser Permanente
| Professional | 26 | $13.52 | $15.65 | $28.97 |
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 | $11.35 | $54.65 | $106.71 |
Kaiser Permanente
| Professional | 26 | $13.52 | $15.65 | $28.97 |