| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21.59 | $21.59 | $456.00 | |
Cigna
| Facility | 52 | $16.70 | $16.70 | $16.70 |
Introduction Long Gi Tube Separate Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21.59 | $21.59 | $456.00 | |
Cigna
| Facility | 52 | $16.70 | $16.70 | $16.70 |