| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.70 | $103.22 | $161.40 |
Kaiser Permanente
| Professional | 26 | $25.57 | $26.92 | $55.51 |
Intro Long Gi Tube W/Mult Fluoro & Images Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.70 | $103.22 | $161.40 |
Kaiser Permanente
| Professional | 26 | $25.57 | $26.92 | $55.51 |