| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $338.84 | $562.34 | |
Molina
| Professional | $50.12 | $70.79 | $75.86 | |
Pacific Source
| Facility | $234.42 | $323.59 | $363.08 |
Radex Gi Tract Upr W/Sm Int W/Mult Serial Images
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $269.15 | $338.84 | $562.34 | |
Molina
| Professional | $50.12 | $70.79 | $75.86 | |
Pacific Source
| Facility | $234.42 | $323.59 | $363.08 |