| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $302.87 | $362.87 | $607.40 | |
MVP Health Care
| Facility | $105.94 | $153.97 | $254.50 | |
MVP Health Care
| Professional | $302.87 | $362.87 | $607.40 |
Radiological Examination, Gast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $302.87 | $362.87 | $607.40 | |
MVP Health Care
| Facility | $105.94 | $153.97 | $254.50 | |
MVP Health Care
| Professional | $302.87 | $362.87 | $607.40 |