| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $547.70 | $547.70 | $8,500.00 | |
Medica
| Facility | $547.70 | $642.95 | $1,643.10 |
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 | $547.70 | $547.70 | $8,500.00 | |
Medica
| Facility | $547.70 | $642.95 | $1,643.10 |