| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.58 | $362.87 | $751.36 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |
Radiological Examination, Gast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.58 | $362.87 | $751.36 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |