| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $6,150.00 | $18,613.29 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |
Revascularization Endovascular Open Or Percutaneous Any Vessel(S); With Intravascular Lithotripsy Includes Angioplasty Within The Same Vessel(S) When Performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $6,150.00 | $18,613.29 | |
United
| Facility | $4,062.00 | $5,185.00 | $19,046.00 |