| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.04 | $62.38 | $73.39 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $63.29 |
Kaiser Permanente
| Professional | 26 | $59.80 | $65.23 | $76.09 |
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 | $55.04 | $62.38 | $73.39 |
Cigna
| Facility | 26 | $63.29 | $63.29 | $63.29 |
Kaiser Permanente
| Professional | 26 | $59.80 | $65.23 | $76.09 |