| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $2,290.87 | $2,818.38 | $4,073.80 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
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 | $2,818.38 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $2,290.87 | $2,818.38 | $4,073.80 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |