| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95,423.80 | $127,480.00 | $190,131.00 | |
Anthem BCBS
| Facility | $75,785.83 | $104,397.47 | $169,005.20 | |
United
| Facility | $10,845.00 | $126,154.30 | $162,295.39 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95,423.80 | $127,480.00 | $190,131.00 | |
Anthem BCBS
| Facility | $75,785.83 | $104,397.47 | $169,005.20 | |
United
| Facility | $10,845.00 | $126,154.30 | $162,295.39 |