| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $221.43 | $278.43 | $576.79 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |
Contrst X-Ray Uppr Gi Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $221.43 | $278.43 | $576.79 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |