| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $354.81 | $489.78 | |
Medica
| Professional | $891.25 | $891.25 | $891.25 |
Radex Gi Upr W/Wo Glucose W/Sm Intest Follw-Thru
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $288.40 | $354.81 | $489.78 | |
Medica
| Professional | $891.25 | $891.25 | $891.25 |