| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $72.03 | $72.03 | $89.05 |
Providence
| Facility | 26 | $72.03 | $72.03 | $89.05 |
Acute gastrointestinal blood loss imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $72.03 | $72.03 | $89.05 |
Providence
| Facility | 26 | $72.03 | $72.03 | $89.05 |