| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $181.97 | $229.09 | $389.05 | |
Molina
| Professional | $50.12 | $70.79 | $75.86 | |
Pacific Source
| Facility | $162.18 | $223.87 | $245.47 |
Radex Gi Tract Upper W/Wo Delayed Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $181.97 | $229.09 | $389.05 | |
Molina
| Professional | $50.12 | $70.79 | $75.86 | |
Pacific Source
| Facility | $162.18 | $223.87 | $245.47 |