| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.68 | $38.47 | $58.89 |
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 | $29.68 | $38.47 | $58.89 |
Lucent Health
| Facility | 26 | $109.24 | $225.10 | $225.10 |