| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.99 | $64.57 | $85.11 |
Medica
| Facility | 26 | $66.07 | $125.89 | $125.89 |
Radiologic examination, pharynx and/or cervical esophagus, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.99 | $64.57 | $85.11 |
Medica
| Facility | 26 | $66.07 | $125.89 | $125.89 |