| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.10 | $1,728.00 | $2,250.00 | |
Aetna
| Facility | 52 | $19.55 | $19.55 | $19.55 |
BCBS
| Facility | $895.23 | $1,086.41 | $1,461.57 | |
United
| Facility | $625.00 | $1,738.00 | $3,360.00 |
Introduction Long Gi Tube Separate Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.10 | $1,728.00 | $2,250.00 | |
Aetna
| Facility | 52 | $19.55 | $19.55 | $19.55 |
BCBS
| Facility | $895.23 | $1,086.41 | $1,461.57 | |
United
| Facility | $625.00 | $1,738.00 | $3,360.00 |