| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.65 | $42.65 | $42.65 |
Cigna
| Facility | 26 | $66.50 | $66.50 | $74.14 |
Medica
| Facility | 26 | $104.23 | $219.84 | $219.84 |
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 | $42.65 | $42.65 | $42.65 |
Cigna
| Facility | 26 | $66.50 | $66.50 | $74.14 |
Medica
| Facility | 26 | $104.23 | $219.84 | $219.84 |