| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.84 | $346.74 | $562.34 | |
Kaiser Permanente
| Professional | $190.55 | $208.93 | $389.05 |
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 | $346.74 | $562.34 | |
Kaiser Permanente
| Professional | $190.55 | $208.93 | $389.05 |