| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,223.50 | $47,223.00 | $79,034.50 | |
United
| Facility | $2,600.00 | $42,877.14 | $95,342.30 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,223.50 | $47,223.00 | $79,034.50 | |
United
| Facility | $2,600.00 | $42,877.14 | $95,342.30 |