| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.60 | $34.44 | $89.89 |
Cigna
| Facility | 26 | $28.97 | $28.97 | $78.53 |
Intro Long Gi Tube W/Mult Fluoro & Images Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.60 | $34.44 | $89.89 |
Cigna
| Facility | 26 | $28.97 | $28.97 | $78.53 |