| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.62 | $511.62 | $2,283.14 | |
Martin's Point
| Facility | $2,283.14 | $2,283.14 | $2,283.14 |
Thrombolysis Venous Infusion W/Imaging Init Tx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.62 | $511.62 | $2,283.14 | |
Martin's Point
| Facility | $2,283.14 | $2,283.14 | $2,283.14 |