| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.89 | $471.85 | $572.97 | |
Kaiser Permanente
| Professional | $264.00 | $264.00 | $329.00 |
Radex Gi Tract Upr W/Sm Int W/Mult Serial Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.89 | $471.85 | $572.97 | |
Kaiser Permanente
| Professional | $264.00 | $264.00 | $329.00 |