| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $268.58 | $337.73 | $565.33 | |
Medica
| Facility | $176.69 | $678.35 | $678.35 | |
Medica
| Professional | $825.93 | $825.93 | $825.93 |
Radex Gi Tract Upr W/Sm Int W/Mult Serial Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $268.58 | $337.73 | $565.33 | |
Medica
| Facility | $176.69 | $678.35 | $678.35 | |
Medica
| Professional | $825.93 | $825.93 | $825.93 |