| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.86 | $41.69 | $251.95 |
Lucent Health
| Facility | 26 | $109.24 | $225.10 | $225.10 |
Acute gastrointestinal blood loss imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.86 | $41.69 | $251.95 |
Lucent Health
| Facility | 26 | $109.24 | $225.10 | $225.10 |