| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Anthem BCBS
| Facility | $5,186.00 | $16,091.93 | $28,054.57 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |
Evasc Intracranial Prolng Admn Rx Agent Art 1st
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Anthem BCBS
| Facility | $5,186.00 | $16,091.93 | $28,054.57 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |