| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.90 | $542.90 | $1,400.00 | |
CareSource
| Facility | $623.24 | $725.08 | $789.98 | |
Cigna
| Facility | $663.97 | $663.97 | $663.97 |
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 | $542.90 | $542.90 | $1,400.00 | |
CareSource
| Facility | $623.24 | $725.08 | $789.98 | |
Cigna
| Facility | $663.97 | $663.97 | $663.97 |