| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.54 | $27.54 | $27.54 |
Kaiser Permanente
| Professional | 26 | $30.20 | $36.31 | $57.54 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.54 | $27.54 | $27.54 |
Kaiser Permanente
| Professional | 26 | $30.20 | $36.31 | $57.54 |