| 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 |
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report
| 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 |