| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64,975.70 | $86,069.40 | $150,589.00 | |
Anthem BCBS
| Facility | $5,939.30 | $68,863.05 | $164,083.22 | |
United
| Facility | $3,496.00 | $88,698.59 | $135,476.13 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64,975.70 | $86,069.40 | $150,589.00 | |
Anthem BCBS
| Facility | $5,939.30 | $68,863.05 | $164,083.22 | |
United
| Facility | $3,496.00 | $88,698.59 | $135,476.13 |