| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61,009.10 | $101,204.00 | $135,808.00 | |
Anthem BCBS
| Facility | $43,863.35 | $94,256.61 | $150,794.88 | |
United
| Facility | $59,478.25 | $80,267.66 | $113,708.90 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61,009.10 | $101,204.00 | $135,808.00 | |
Anthem BCBS
| Facility | $43,863.35 | $94,256.61 | $150,794.88 | |
United
| Facility | $59,478.25 | $80,267.66 | $113,708.90 |