| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.90 | $65.41 | $246.66 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $63.29 |
Kaiser Permanente
| Professional | 26 | $58.53 | $69.00 | $195.66 |
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 | $47.90 | $65.41 | $246.66 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $63.29 |
Kaiser Permanente
| Professional | 26 | $58.53 | $69.00 | $195.66 |