| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.74 | $47.74 | $47.74 |
Elec Alys Nstim Pls Gen Gastric Intraop W/Prgrmg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.74 | $47.74 | $47.74 |