| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $3,052.56 | $5,743.00 | |
United
| Facility | $1,292.00 | $4,455.00 | $11,487.00 |
Evasc Intracranial Prolng Admn Rx Agent Art Addl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $3,052.56 | $5,743.00 | |
United
| Facility | $1,292.00 | $4,455.00 | $11,487.00 |