| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66,328.39 | $113,220.00 | $184,030.00 | |
Florida Blue
| Facility | $59,011.07 | $124,915.41 | $259,206.25 | |
United
| Facility | $6,842.00 | $93,957.06 | $129,239.85 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66,328.39 | $113,220.00 | $184,030.00 | |
Florida Blue
| Facility | $59,011.07 | $124,915.41 | $259,206.25 | |
United
| Facility | $6,842.00 | $93,957.06 | $129,239.85 |