| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,388.44 | $7,244.36 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
United
| Facility | $100.00 | $416.87 | $1,318.26 |
Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,388.44 | $7,244.36 | |
Cigna
| Facility | $537.03 | $537.03 | $537.03 | |
United
| Facility | $100.00 | $416.87 | $1,318.26 |