| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $275.42 | $346.74 | $426.58 | |
Medica
| Professional | $660.69 | $660.69 | $660.69 | |
Sanford Health Plan
| Professional | $117.49 | $186.21 | $239.88 |
Radex Upper Gi W/Wo Glucagon/Delay Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $275.42 | $346.74 | $426.58 | |
Medica
| Professional | $660.69 | $660.69 | $660.69 | |
Sanford Health Plan
| Professional | $117.49 | $186.21 | $239.88 |