| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Cigna
| Facility | $407.38 | $407.38 | $616.60 | |
Martin's Point
| Facility | $2,630.27 | $2,630.27 | $2,630.27 |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Cigna
| Facility | $407.38 | $407.38 | $616.60 | |
Martin's Point
| Facility | $2,630.27 | $2,630.27 | $2,630.27 |