| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.12 | $81.73 | $81.73 |
Hally Health
| Professional | 26 | $48.96 | $66.77 | $226.76 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Gi Tract Imaging Intraluminal Esophagus Wi&R
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.12 | $81.73 | $81.73 |
Hally Health
| Professional | 26 | $48.96 | $66.77 | $226.76 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |