| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.45 | $52.02 | $114.41 |
Cigna
| Facility | 26 | $28.97 | $28.97 | $28.97 |
Kaiser Permanente
| Professional | 26 | $24.69 | $29.63 | $63.88 |
Intro Long Gi Tube W/Mult Fluoro & Images Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.45 | $52.02 | $114.41 |
Cigna
| Facility | 26 | $28.97 | $28.97 | $28.97 |
Kaiser Permanente
| Professional | 26 | $24.69 | $29.63 | $63.88 |