| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.36 | $32.36 | $32.36 |
Midlands
| Professional | 26 | $77.62 | $77.62 | $77.62 |
Sanford Health Plan
| Professional | 26 | $42.66 | $56.23 | $60.26 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.36 | $32.36 | $32.36 |
Midlands
| Professional | 26 | $77.62 | $77.62 | $77.62 |
Sanford Health Plan
| Professional | 26 | $42.66 | $56.23 | $60.26 |