| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.68 | $53.86 | $77.66 |
Cigna
| Facility | 26 | $52.93 | $52.93 | $52.93 |
Medcost
| Facility | 26 | $70.98 | $82.00 | $153.78 |
Wellcare
| Facility | 26 | $109.24 | $134.97 | $225.10 |
Acute Gastrointestinal Blood Loss Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.68 | $53.86 | $77.66 |
Cigna
| Facility | 26 | $52.93 | $52.93 | $52.93 |
Medcost
| Facility | 26 | $70.98 | $82.00 | $153.78 |
Wellcare
| Facility | 26 | $109.24 | $134.97 | $225.10 |