| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $69.93 | $69.93 | $83.13 |
Providence
| Facility | 26 | $69.93 | $69.93 | $83.13 |
Gi Tract Imaging Intraluminal Esophagus Wi&R
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $69.93 | $69.93 | $83.13 |
Providence
| Facility | 26 | $69.93 | $69.93 | $83.13 |