| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.99 | $1,320.00 | $2,010.00 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $690.00 | $1,223.00 | $4,093.00 |
Evasc Intracranial Prolng Admn Rx Agent Art 1st
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $519.99 | $1,320.00 | $2,010.00 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $690.00 | $1,223.00 | $4,093.00 |