| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $354.81 | $446.68 | $562.34 | |
Medica
| Professional | $891.25 | $891.25 | $891.25 | |
Sanford Health Plan
| Professional | $169.82 | $251.19 | $309.03 |
Radex Gi Upr W/Wo Glucose W/Sm Intest Follw-Thru
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $354.81 | $446.68 | $562.34 | |
Medica
| Professional | $891.25 | $891.25 | $891.25 | |
Sanford Health Plan
| Professional | $169.82 | $251.19 | $309.03 |