| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $331.13 | $416.87 | $524.81 | |
Medica
| Professional | $831.76 | $831.76 | $831.76 | |
Sanford Health Plan
| Professional | $162.18 | $229.09 | $288.40 |
Radex Gi Tract Upr W/Sm Int W/Mult Serial Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $331.13 | $416.87 | $524.81 | |
Medica
| Professional | $831.76 | $831.76 | $831.76 | |
Sanford Health Plan
| Professional | $162.18 | $229.09 | $288.40 |