| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $302.87 | $376.69 | $607.40 | |
Medical Mutual of Ohio
| Professional | $79.92 | $175.64 | $258.88 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Radiological Examination, Gast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $302.87 | $376.69 | $607.40 | |
Medical Mutual of Ohio
| Professional | $79.92 | $175.64 | $258.88 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |