| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.71 | $45.71 | $54.95 |
Medica
| Facility | 26 | $104.71 | $218.78 | $218.78 |
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 | $45.71 | $54.95 |
Medica
| Facility | 26 | $104.71 | $218.78 | $218.78 |