| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,500.00 | $3,719.62 | $6,562.74 | |
Aetna
| Facility | 52 | $98.34 | $98.34 | $98.34 |
Medica
| Facility | $196.67 | $289.06 | $587.08 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Esophagogastroduodenoscopy Us Scope W/Adj Strxrs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,500.00 | $3,719.62 | $6,562.74 | |
Aetna
| Facility | 52 | $98.34 | $98.34 | $98.34 |
Medica
| Facility | $196.67 | $289.06 | $587.08 | |
United
| Facility | $681.00 | $681.00 | $681.00 |