| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.17 | $901.79 | $2,000.00 | |
Medica
| Facility | $86.17 | $361.29 | $1,376.29 | |
United
| Facility | $681.00 | $681.00 | $3,680.42 |
Dilation Esophagus Guide Wire
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.17 | $901.79 | $2,000.00 | |
Medica
| Facility | $86.17 | $361.29 | $1,376.29 | |
United
| Facility | $681.00 | $681.00 | $3,680.42 |