| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $616.60 | $794.33 | $3,801.89 | |
Providence
| Facility | $794.33 | $2,691.53 | $3,890.45 |
Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial vascular territory
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $616.60 | $794.33 | $3,801.89 | |
Providence
| Facility | $794.33 | $2,691.53 | $3,890.45 |