| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.25 | $32.14 | $38.57 |
Hometown Health
| Professional | 26 | $0.36 | $38.14 | $50.95 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.25 | $32.14 | $38.57 |
Hometown Health
| Professional | 26 | $0.36 | $38.14 | $50.95 |