| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41,758.90 | $53,837.70 | $63,676.62 | |
Cigna
| Facility | $43,987.05 | $72,773.28 | $87,387.59 | |
United
| Facility | $3,775.00 | $3,775.00 | $28,478.20 |
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41,758.90 | $53,837.70 | $63,676.62 | |
Cigna
| Facility | $43,987.05 | $72,773.28 | $87,387.59 | |
United
| Facility | $3,775.00 | $3,775.00 | $28,478.20 |