| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $44.67 | $72.44 |
Medica
| Facility | 26 | $60.26 | $114.82 | $114.82 |
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 | $25.12 | $44.67 | $72.44 |
Medica
| Facility | 26 | $60.26 | $114.82 | $114.82 |