| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70,951.30 | $88,573.70 | $112,014.00 | |
Regence BlueShield
| Facility | $56,592.80 | $79,227.22 | $122,293.37 | |
United
| Facility | $3,775.00 | $3,775.00 | $51,976.25 |
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70,951.30 | $88,573.70 | $112,014.00 | |
Regence BlueShield
| Facility | $56,592.80 | $79,227.22 | $122,293.37 | |
United
| Facility | $3,775.00 | $3,775.00 | $51,976.25 |