| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $48.98 | $48.98 | $60.26 |
Providence
| Facility | 26 | $48.98 | $48.98 | $60.26 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $48.98 | $48.98 | $60.26 |
Providence
| Facility | 26 | $48.98 | $48.98 | $60.26 |