| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $281.89 | $350.59 | $565.33 | |
Medical Mutual of Ohio
| Professional | $79.92 | $161.88 | $245.11 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
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 | $350.59 | $565.33 | |
Medical Mutual of Ohio
| Professional | $79.92 | $161.88 | $245.11 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |