| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20,834.80 | $37,824.08 | $51,920.32 | |
Hometown Health
| Facility | $25,195.78 | $37,798.37 | $43,591.67 | |
United
| Facility | $87,491.28 | $87,491.28 | $87,491.28 |
Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $20,834.80 | $37,824.08 | $51,920.32 | |
Hometown Health
| Facility | $25,195.78 | $37,798.37 | $43,591.67 | |
United
| Facility | $87,491.28 | $87,491.28 | $87,491.28 |