| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $2,238.72 | $4,897.79 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |
Endovascular repair of thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation; by deployment of an aorto-aortic tube endograft covering the left subclavian artery and all aortic tube endograft extension(s) proximally in the aortic arch and ascending aorta and distally to the celiac artery, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $2,238.72 | $4,897.79 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |