| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.74 | $53.74 | $98.50 | |
Medica
| Facility | $43.24 | $57.52 | $123.64 |
Elec Alys Nstim Pls Gen Gastric Intraop W/Prgrmg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.74 | $53.74 | $98.50 | |
Medica
| Facility | $43.24 | $57.52 | $123.64 |