| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $132.50 | $132.50 | $132.50 | |
Providence
| Facility | $77.38 | $166.36 | $1,360.04 |
Ileoscopy Stoma W/Balloon Dilation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $132.50 | $132.50 | $132.50 | |
Providence
| Facility | $77.38 | $166.36 | $1,360.04 |