| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $364.03 | $364.03 | $364.03 |
Cigna
| Facility | 26 | $451.46 | $527.57 | $850.95 |
Quartz
| Facility | 26 | $843.20 | $843.20 | $843.20 |
Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption), radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $364.03 | $364.03 | $364.03 |
Cigna
| Facility | 26 | $451.46 | $527.57 | $850.95 |
Quartz
| Facility | 26 | $843.20 | $843.20 | $843.20 |