| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.82 | $48.82 | $52.72 | |
Hometown Health
| Professional | $0.55 | $48.44 | $67.42 |
Elec Alys Nstim Pls Gen Gastric Intraop W/Prgrmg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.82 | $48.82 | $52.72 | |
Hometown Health
| Professional | $0.55 | $48.44 | $67.42 |