| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $78.34 | $78.34 | $78.34 | |
Providence
| Facility | $48.43 | $666.89 | $1,475.62 |
Obstructive Material Removal From Gi Tube
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $78.34 | $78.34 | $78.34 | |
Providence
| Facility | $48.43 | $666.89 | $1,475.62 |