| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104,174.00 | $104,174.00 | $104,174.00 | |
Cigna
| Facility | $47,824.80 | $80,538.41 | $81,931.36 | |
United
| Facility | $8,306.00 | $10,063.00 | $42,482.16 |
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104,174.00 | $104,174.00 | $104,174.00 | |
Cigna
| Facility | $47,824.80 | $80,538.41 | $81,931.36 | |
United
| Facility | $8,306.00 | $10,063.00 | $42,482.16 |