| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Kaiser Permanente
| Professional | $619.58 | $799.26 | $1,260.65 |
Evasc Intracranial Prolng Admn Rx Agent Art 1st
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.98 | $0.98 | $0.98 | |
Kaiser Permanente
| Professional | $619.58 | $799.26 | $1,260.65 |