| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.54 | $91.20 | $91.20 |
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 | $57.54 | $91.20 | $91.20 |