| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,135.21 | $2,135.21 | $6,907.00 | |
Cigna
| Facility | $552.29 | $552.29 | $1,404.00 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 |
Introduction Long Gi Tube Separate Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,135.21 | $2,135.21 | $6,907.00 | |
Cigna
| Facility | $552.29 | $552.29 | $1,404.00 | |
United
| Facility | $414.00 | $1,320.00 | $1,320.00 |