| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $7.76 | |
Cigna
| Professional | $1.17 | $1.17 | $1.66 | |
United
| Professional | $1.78 | $2.40 | $3.80 |
Stomach tube - Levine type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $7.76 | |
Cigna
| Professional | $1.17 | $1.17 | $1.66 | |
United
| Professional | $1.78 | $2.40 | $3.80 |