| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,102.88 | $2,102.88 | $2,102.88 | |
Priority Health
| Facility | $2,102.88 | $2,102.88 | $2,102.88 |
Level 1 Upper GI Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,102.88 | $2,102.88 | $2,102.88 | |
Priority Health
| Facility | $2,102.88 | $2,102.88 | $2,102.88 |