| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $155.97 | $593.50 | $593.50 | |
Medica
| Professional | $665.33 | $665.33 | $665.33 |
Radex Upper Gi W/Wo Glucagon/Delay Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $155.97 | $593.50 | $593.50 | |
Medica
| Professional | $665.33 | $665.33 | $665.33 |