| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $403.81 | $403.81 | $403.81 | |
Providence
| Facility | $248.25 | $537.28 | $1,701.79 |
Esophagoscopy Retrograde Dilate Balloon/Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $403.81 | $403.81 | $403.81 | |
Providence
| Facility | $248.25 | $537.28 | $1,701.79 |