| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.88 | $10,900.00 | $17,695.00 | |
Moda Health
| Facility | $1,024.38 | $4,005.85 | $5,728.37 | |
Providence
| Facility | $1,024.38 | $4,005.85 | $5,728.37 |
Perq Art Trluml M-Thrombec &/Nfs Intracranial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.88 | $10,900.00 | $17,695.00 | |
Moda Health
| Facility | $1,024.38 | $4,005.85 | $5,728.37 | |
Providence
| Facility | $1,024.38 | $4,005.85 | $5,728.37 |