| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.86 | $47.86 | $47.86 |
Midlands
| Professional | 26 | $102.33 | $112.20 | $114.82 |
Sanford Health Plan
| Professional | 26 | $56.23 | $81.28 | $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 | $47.86 | $47.86 | $47.86 |
Midlands
| Professional | 26 | $102.33 | $112.20 | $114.82 |
Sanford Health Plan
| Professional | 26 | $56.23 | $81.28 | $91.20 |