| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.09 | $281.84 | $354.81 | |
Medica
| Professional | $549.54 | $549.54 | $549.54 | |
Sanford Health Plan
| Professional | $109.65 | $154.88 | $199.53 |
Radex Gi Tract Upper W/Wo Delayed Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $229.09 | $281.84 | $354.81 | |
Medica
| Professional | $549.54 | $549.54 | $549.54 | |
Sanford Health Plan
| Professional | $109.65 | $154.88 | $199.53 |