| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85,216.50 | $94,685.00 | $94,685.00 | |
BCBS
| Facility | $57,362.72 | $67,837.61 | $177,056.79 | |
United
| Facility | $6,965.00 | $141,457.09 | $182,644.79 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85,216.50 | $94,685.00 | $94,685.00 | |
BCBS
| Facility | $57,362.72 | $67,837.61 | $177,056.79 | |
United
| Facility | $6,965.00 | $141,457.09 | $182,644.79 |