| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.71 | $81.28 | $81.28 |
Hally Health
| Professional | 26 | $47.86 | $66.07 | $269.15 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
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 | $45.71 | $81.28 | $81.28 |
Hally Health
| Professional | 26 | $47.86 | $66.07 | $269.15 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |