| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.72 | $64.06 | $105.40 |
Medica
| Facility | 26 | $109.24 | $109.24 | $109.24 |
Acute gastrointestinal blood loss imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.72 | $64.06 | $105.40 |
Medica
| Facility | 26 | $109.24 | $109.24 | $109.24 |