| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.95 | $41.22 | $72.29 |
Medica
| Facility | 26 | $74.90 | $74.90 | $74.90 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.95 | $41.22 | $72.29 |
Medica
| Facility | 26 | $74.90 | $74.90 | $74.90 |