| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.92 | $37.92 | $39.81 |
Health Alliance Plan
| Facility | 26 | $26.47 | $26.47 | $37.92 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.92 | $37.92 | $39.81 |
Health Alliance Plan
| Facility | 26 | $26.47 | $26.47 | $37.92 |