| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.18 | $28.18 | $28.18 |
Midlands
| Professional | 26 | $54.95 | $58.88 | $69.18 |
Sanford Health Plan
| Professional | 26 | $23.44 | $38.02 | $53.70 |
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 | $28.18 | $28.18 | $28.18 |
Midlands
| Professional | 26 | $54.95 | $58.88 | $69.18 |
Sanford Health Plan
| Professional | 26 | $23.44 | $38.02 | $53.70 |