| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Cigna
| Facility | $3.31 | $3.31 | $3.31 | |
Cigna
| Professional | $1.17 | $10.00 | $10.00 | |
United
| Professional | $1.55 | $2.19 | $3.63 |
Stomach tube - Levine type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $1.00 | $2.00 | |
Cigna
| Facility | $3.31 | $3.31 | $3.31 | |
Cigna
| Professional | $1.17 | $10.00 | $10.00 | |
United
| Professional | $1.55 | $2.19 | $3.63 |