| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $183.50 | $230.74 | $386.23 | |
Medica
| Facility | $214.21 | $535.10 | $535.10 | |
Medica
| Professional | $549.27 | $549.27 | $549.27 |
Radex Gi Tract Upper W/Wo Delayed Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $183.50 | $230.74 | $386.23 | |
Medica
| Facility | $214.21 | $535.10 | $535.10 | |
Medica
| Professional | $549.27 | $549.27 | $549.27 |