| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $223.87 | $275.42 | $467.74 | |
Molina
| Professional | $50.12 | $70.79 | $75.86 | |
Pacific Source
| Facility | $194.98 | $263.03 | $288.40 |
Radex Upper Gi W/Wo Glucagon/Delay Images W/Kub
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $223.87 | $275.42 | $467.74 | |
Molina
| Professional | $50.12 | $70.79 | $75.86 | |
Pacific Source
| Facility | $194.98 | $263.03 | $288.40 |