| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.18 | $39.18 | $39.18 |
Medcost
| Facility | 26 | $70.98 | $84.00 | $146.88 |
Acute Gastrointestinal Blood Loss Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.18 | $39.18 | $39.18 |
Medcost
| Facility | 26 | $70.98 | $84.00 | $146.88 |