| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,166.00 | $35,762.00 | $61,425.51 | |
Harvard Pilgrim
| Facility | $29,042.41 | $43,029.81 | $63,215.76 | |
United
| Facility | $35,044.12 | $35,044.12 | $60,986.44 |
Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $30,166.00 | $35,762.00 | $61,425.51 | |
Harvard Pilgrim
| Facility | $29,042.41 | $43,029.81 | $63,215.76 | |
United
| Facility | $35,044.12 | $35,044.12 | $60,986.44 |