| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,707.14 | $8,707.14 | $9,151.89 |
Esphgitis,Ge,Misc Dig Dis Age >17 W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,707.14 | $8,707.14 | $9,151.89 |