| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.55 | $14.87 | $22.64 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Medcost
| Facility | 26 | $20.39 | $23.00 | $33.11 |
Wellcare
| Facility | 26 | $36.81 | $100.00 | $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 | $11.55 | $14.87 | $22.64 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Medcost
| Facility | 26 | $20.39 | $23.00 | $33.11 |
Wellcare
| Facility | 26 | $36.81 | $100.00 | $100.00 |