| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.41 | $121.41 | $8,500.00 | |
Medica
| Facility | $121.41 | $162.93 | $364.23 |
Cessation Thrombolytic Ther W/Catheter Removal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.41 | $121.41 | $8,500.00 | |
Medica
| Facility | $121.41 | $162.93 | $364.23 |