| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.11 | $45.04 | $193.57 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $100.04 |
Florida Blue
| Facility | 26 | $36.81 | $36.81 | $36.81 |
Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.11 | $45.04 | $193.57 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $100.04 |
Florida Blue
| Facility | 26 | $36.81 | $36.81 | $36.81 |