| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107,016.00 | $132,130.00 | $181,243.00 | |
United
| Facility | $38,542.17 | $99,231.82 | $174,072.62 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107,016.00 | $132,130.00 | $181,243.00 | |
United
| Facility | $38,542.17 | $99,231.82 | $174,072.62 |