| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.50 | $55.60 | $55.60 |
Cigna
| Facility | 26 | $70.29 | $82.14 | $126.00 |
Medica
| Facility | 26 | $121.12 | $121.12 | $121.12 |
Quartz
| Facility | 26 | $30.76 | $121.12 | $121.12 |
Intraluminal Dilation Strictures&/Obstrcjs Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.50 | $55.60 | $55.60 |
Cigna
| Facility | 26 | $70.29 | $82.14 | $126.00 |
Medica
| Facility | 26 | $121.12 | $121.12 | $121.12 |
Quartz
| Facility | 26 | $30.76 | $121.12 | $121.12 |