| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.34 | $6,986.00 | $12,831.00 | |
Horizon BCBS
| Facility | $22,250.00 | $22,250.00 | $27,571.20 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |
Evasc Temp Balloon Artl Occlusion Head/Neck
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.34 | $6,986.00 | $12,831.00 | |
Horizon BCBS
| Facility | $22,250.00 | $22,250.00 | $27,571.20 | |
United
| Facility | $6,066.00 | $12,315.00 | $27,214.00 |