| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.13 | $27.54 | $29.51 |
Medica
| Facility | 26 | $30.90 | $30.90 | $100.00 |
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 | $14.13 | $27.54 | $29.51 |
Medica
| Facility | 26 | $30.90 | $30.90 | $100.00 |