| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.01 | $47.01 | $50.78 |
Hometown Health
| Professional | 26 | $0.50 | $59.45 | $79.43 |
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 | $47.01 | $47.01 | $50.78 |
Hometown Health
| Professional | 26 | $0.50 | $59.45 | $79.43 |