| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.07 | $46.07 | $46.07 | |
Medcost
| Facility | $43.15 | $48.27 | $85.72 |
Elec Alys Nstim Pls Gen Gastric Intraop W/Prgrmg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.07 | $46.07 | $46.07 | |
Medcost
| Facility | $43.15 | $48.27 | $85.72 |