| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $32,812.79 | $59,958.66 | $130,797.95 | |
Harvard Pilgrim
| Facility | $55,834.41 | $78,534.75 | $123,697.57 | |
United
| Facility | $63,959.90 | $63,959.90 | $111,307.83 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $32,812.79 | $59,958.66 | $130,797.95 | |
Harvard Pilgrim
| Facility | $55,834.41 | $78,534.75 | $123,697.57 | |
United
| Facility | $63,959.90 | $63,959.90 | $111,307.83 |