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The people here already spoke of the option of medical tourism, can't you look up that ? A colonoscopy is not some advanced tech, any decent hospital in latin america will be able to do that. Since you earn US dollars, you could research about making a trip to Mexico (possibly the cheapest option, because it can be done by bus or car), Cuba (possibly the cheapest too, because of the conversion rate and short plane distance), Brazil, etc for the travel, lodging and procedure (and even a little tourism too if you have the time and will XD ).
I'm mid-atlantic. Procedure + flight + basic accommodation is still around 2/3 of the anesthesia. Medical tourism works well when you're uninsured or when the whole procedure isn't covered. Sadly, I'm already paying a fortune for the insurance. It's a mid-high plan Blue Cross. F'ing insane they're taking this line.