| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $904.24 | $1,229.66 | $1,587.67 | |
Providence
| Facility | $904.24 | $1,229.66 | $2,165.96 |
Level 1 Upper GI Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $904.24 | $1,229.66 | $1,587.67 | |
Providence
| Facility | $904.24 | $1,229.66 | $2,165.96 |