| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.31 | $1.31 | $2.14 | |
BCBS
| Facility | $3.54 | $3.80 | $5.43 | |
BCBS
| Professional | $1.17 | $1.67 | $2.72 | |
United
| Professional | $1.12 | $2.56 | $3.01 |
Stomach tube - Levine type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.31 | $1.31 | $2.14 | |
BCBS
| Facility | $3.54 | $3.80 | $5.43 | |
BCBS
| Professional | $1.17 | $1.67 | $2.72 | |
United
| Professional | $1.12 | $2.56 | $3.01 |