| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $685.50 | $877.44 | $1,720.12 | |
United
| Facility | $3,700.00 | $17,585.00 | $18,758.00 |
Evasc Intracranial Prolng Admn Rx Agent Art 1st
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $685.50 | $877.44 | $1,720.12 | |
United
| Facility | $3,700.00 | $17,585.00 | $18,758.00 |