| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51,280.90 | $85,602.20 | $129,150.00 | |
Anthem BCBS
| Facility | $7,169.00 | $106,769.03 | $211,033.17 | |
United
| Facility | $59,233.80 | $120,200.50 | $170,633.98 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51,280.90 | $85,602.20 | $129,150.00 | |
Anthem BCBS
| Facility | $7,169.00 | $106,769.03 | $211,033.17 | |
United
| Facility | $59,233.80 | $120,200.50 | $170,633.98 |