| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $929.28 | $3,500.00 | $3,500.00 | |
Cigna
| Professional | $660.66 | $660.66 | $660.66 |
Endoscope, single-use (i.e. disposable), upper GI, imaging/illumination device (insertable)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $929.28 | $3,500.00 | $3,500.00 | |
Cigna
| Professional | $660.66 | $660.66 | $660.66 |