| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.12 | $586.12 | $586.12 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Martin's Point
| Facility | $586.12 | $586.12 | $586.12 |
Unlisted Procedure Small Intestine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.12 | $586.12 | $586.12 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Martin's Point
| Facility | $586.12 | $586.12 | $586.12 |