| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.57 | $46.57 | $46.57 |
Medcost
| Facility | 26 | $52.22 | $87.73 | $143.50 |
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 | $46.57 | $46.57 | $46.57 |
Medcost
| Facility | 26 | $52.22 | $87.73 | $143.50 |