| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.93 | $239.93 | $1,700.00 | |
CareSource
| Facility | $242.85 | $275.50 | $300.16 | |
Cigna
| Facility | $259.92 | $259.92 | $259.92 | |
United
| Facility | $690.00 | $690.00 | $690.00 |
Thrombolysis Art/Venous Infsn W/Image Subsq Tx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.93 | $239.93 | $1,700.00 | |
CareSource
| Facility | $242.85 | $275.50 | $300.16 | |
Cigna
| Facility | $259.92 | $259.92 | $259.92 | |
United
| Facility | $690.00 | $690.00 | $690.00 |