| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.42 | $79.66 | $105.40 |
Medica
| Facility | 26 | $109.24 | $207.37 | $207.37 |
Acute gastrointestinal blood loss imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.42 | $79.66 | $105.40 |
Medica
| Facility | 26 | $109.24 | $207.37 | $207.37 |