| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $263.33 | $263.33 | $699.00 |
Egd Deliver Thermal Energy Sphnctr/Cardia Gerd
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $263.33 | $263.33 | $699.00 |