| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.18 | $54.18 | $54.18 | |
BCBS
| Facility | $29.01 | $58.32 | $105.29 | |
Health Alliance Plan
| Facility | $47.88 | $47.88 | $54.18 |
Elec Alys Nstim Pls Gen Gastric Intraop W/Prgrmg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.18 | $54.18 | $54.18 | |
BCBS
| Facility | $29.01 | $58.32 | $105.29 | |
Health Alliance Plan
| Facility | $47.88 | $47.88 | $54.18 |