| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
BCBS
| Professional | $2.04 | $2.04 | $2.04 | |
United
| Facility | $1.70 | $1.70 | $2.19 | |
United
| Professional | $1.12 | $3.24 | $7.08 |
Stomach tube - Levine type
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $2.00 | $2.00 | |
BCBS
| Professional | $2.04 | $2.04 | $2.04 | |
United
| Facility | $1.70 | $1.70 | $2.19 | |
United
| Professional | $1.12 | $3.24 | $7.08 |