| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.77 | $54.95 | $66.07 |
Cigna
| Facility | 26 | $83.18 | $97.72 | $154.88 |
Quartz
| Facility | 26 | $100.00 | $199.53 | $199.53 |
Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.77 | $54.95 | $66.07 |
Cigna
| Facility | 26 | $83.18 | $97.72 | $154.88 |
Quartz
| Facility | 26 | $100.00 | $199.53 | $199.53 |