| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.18 | $53.70 | $204.17 |
Kaiser Permanente
| Professional | 26 | $30.20 | $39.81 | $41.69 |
Medcost
| Professional | 26 | $47.86 | $50.12 | $67.61 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.18 | $53.70 | $204.17 |
Kaiser Permanente
| Professional | 26 | $30.20 | $39.81 | $41.69 |
Medcost
| Professional | 26 | $47.86 | $50.12 | $67.61 |