| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,096.48 | $1,096.48 | $3,019.95 | |
Cigna
| Professional | $3,890.45 | $3,890.45 | $12,589.25 | |
United
| Professional | $2,238.72 | $2,630.27 | $13,489.63 |
Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,096.48 | $1,096.48 | $3,019.95 | |
Cigna
| Professional | $3,890.45 | $3,890.45 | $12,589.25 | |
United
| Professional | $2,238.72 | $2,630.27 | $13,489.63 |