| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.23 | $26.36 | $40.77 |
Lucent Health
| Facility | 26 | $98.17 | $154.22 | $154.22 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.23 | $26.36 | $40.77 |
Lucent Health
| Facility | 26 | $98.17 | $154.22 | $154.22 |