| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,086.80 | $49,977.20 | $67,040.00 | |
BCBS
| Facility | $2,651.00 | $50,972.37 | $60,608.51 | |
United
| Facility | $1,350.00 | $5,713.00 | $63,758.91 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,086.80 | $49,977.20 | $67,040.00 | |
BCBS
| Facility | $2,651.00 | $50,972.37 | $60,608.51 | |
United
| Facility | $1,350.00 | $5,713.00 | $63,758.91 |