| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.86 | $47.86 | $47.86 |
Kaiser Permanente
| Professional | 26 | $69.18 | $75.86 | $263.03 |
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.86 | $47.86 | $47.86 |
Kaiser Permanente
| Professional | 26 | $69.18 | $75.86 | $263.03 |