| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,418.60 | $42,942.30 | $49,510.00 | |
BCBS
| Facility | $1,252.00 | $3,702.00 | $6,578.00 | |
United
| Facility | $2,332.00 | $5,310.00 | $74,547.45 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35,418.60 | $42,942.30 | $49,510.00 | |
BCBS
| Facility | $1,252.00 | $3,702.00 | $6,578.00 | |
United
| Facility | $2,332.00 | $5,310.00 | $74,547.45 |