| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $658.66 | $1,688.00 | $9,477.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
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 | $658.66 | $1,688.00 | $9,477.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |