| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,779.00 | $12,600.00 | |
Medica
| Facility | $264.33 | $816.00 | $5,882.00 | |
United
| Facility | $480.00 | $1,541.00 | $2,753.55 |
Thrombolysis Art/Venous Infsn W/Image Subsq Tx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,779.00 | $12,600.00 | |
Medica
| Facility | $264.33 | $816.00 | $5,882.00 | |
United
| Facility | $480.00 | $1,541.00 | $2,753.55 |