| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $7,628.00 | $7,628.00 | $7,628.00 | |
Horizon BCBS
| Professional | $117.00 | $169.10 | $235.34 |
Radex Upper Gi W/Wo Glucagon/Delay Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $7,628.00 | $7,628.00 | $7,628.00 | |
Horizon BCBS
| Professional | $117.00 | $169.10 | $235.34 |