| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $69,296.53 | $69,296.53 | $69,296.53 | |
Providence
| Facility | $27,953.92 | $27,953.92 | $69,296.53 |
Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $69,296.53 | $69,296.53 | $69,296.53 | |
Providence
| Facility | $27,953.92 | $27,953.92 | $69,296.53 |