| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $467.74 | $575.44 | |
Medica
| Facility | $416.87 | $416.87 | $676.08 | |
Medica
| Professional | $831.76 | $831.76 | $831.76 |
Radex Gi Tract Upr W/Sm Int W/Mult Serial Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $467.74 | $575.44 | |
Medica
| Facility | $416.87 | $416.87 | $676.08 | |
Medica
| Professional | $831.76 | $831.76 | $831.76 |