| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,669.32 | $4,989.85 | $6,442.64 | |
Providence
| Facility | $3,669.32 | $4,989.85 | $8,789.29 |
Level 3 Upper GI Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,669.32 | $4,989.85 | $6,442.64 | |
Providence
| Facility | $3,669.32 | $4,989.85 | $8,789.29 |