| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.82 | $1,076.34 | $11,433.49 | |
Cigna
| Facility | $145.88 | $145.88 | $456.00 | |
Martin's Point
| Facility | $11,433.49 | $11,433.49 | $11,433.49 |
Dilation Esophagus Guide Wire
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.82 | $1,076.34 | $11,433.49 | |
Cigna
| Facility | $145.88 | $145.88 | $456.00 | |
Martin's Point
| Facility | $11,433.49 | $11,433.49 | $11,433.49 |