| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,008.12 | $1,008.12 | $1,400.00 | |
CareSource
| Facility | $1,003.80 | $1,154.06 | $1,257.38 | |
Cigna
| Facility | $1,080.64 | $1,080.64 | $1,080.64 |
Delayed placement of distal extension prosthesis(es) from the level of the left subclavian artery to the celiac artery, after endovascular repair of descending thoracic aorta, including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,008.12 | $1,008.12 | $1,400.00 | |
CareSource
| Facility | $1,003.80 | $1,154.06 | $1,257.38 | |
Cigna
| Facility | $1,080.64 | $1,080.64 | $1,080.64 |