Usually you would contact a Gastroenterologist with a referral ( if required ) and request it. If you are 50 or older it may be part of a physical exam referral from your Family dr. or whoever you see for that exam.
That gets it into the insurance mill.
Around here ( and I suppose anywhere in the US ) you must show up for the colonoscopy appointment with a person who will drive you home. No taxi rides or buses allowed.
You do not want to risk driving. My wife drove me home and I slept most of the day afterwards.
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