| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $36.31 | $199.53 |
Medica
| Facility | 26 | $74.13 | $144.54 | $144.54 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $36.31 | $199.53 |
Medica
| Facility | 26 | $74.13 | $144.54 | $144.54 |