| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.22 | $87.61 | $109.51 |
Medica
| Facility | 26 | $60.16 | $115.03 | $115.03 |
Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.22 | $87.61 | $109.51 |
Medica
| Facility | 26 | $60.16 | $115.03 | $115.03 |