| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.58 | $230.58 | $8,500.00 | |
Medica
| Facility | $230.58 | $297.54 | $691.74 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |
Thrombolysis Art/Venous Infsn W/Image Subsq Tx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.58 | $230.58 | $8,500.00 | |
Medica
| Facility | $230.58 | $297.54 | $691.74 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |