| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $154.88 | $588.84 | $588.84 | |
Medica
| Professional | $660.69 | $660.69 | $660.69 |
Radex Upper Gi W/Wo Glucagon/Delay Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $154.88 | $588.84 | $588.84 | |
Medica
| Professional | $660.69 | $660.69 | $660.69 |