| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.63 | $69.63 | $96.71 |
Cigna
| Facility | 26 | $121.65 | $138.24 | $218.08 |
Quartz
| Facility | 26 | $207.37 | $207.37 | $207.37 |
Acute Gastrointestinal Blood Loss Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.63 | $69.63 | $96.71 |
Cigna
| Facility | 26 | $121.65 | $138.24 | $218.08 |
Quartz
| Facility | 26 | $207.37 | $207.37 | $207.37 |