| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.13 | $58.30 | $58.30 |
Cigna
| Facility | 26 | $72.98 | $85.30 | $113.36 |
Medica
| Facility | 26 | $125.66 | $125.66 | $125.66 |
Quartz
| Facility | 26 | $100.00 | $125.66 | $125.66 |
Radiologic Exam Phrnx&/Crv Esoph Contrast Study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.13 | $58.30 | $58.30 |
Cigna
| Facility | 26 | $72.98 | $85.30 | $113.36 |
Medica
| Facility | 26 | $125.66 | $125.66 | $125.66 |
Quartz
| Facility | 26 | $100.00 | $125.66 | $125.66 |