| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,708.00 | $15,708.00 | $15,708.00 | |
Cigna
| Facility | $15,849.65 | $15,849.65 | $15,849.65 | |
Highmark BCBS
| Facility | $17,909.57 | $20,506.22 | $25,249.28 |
Pulmonary embolism w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,708.00 | $15,708.00 | $15,708.00 | |
Cigna
| Facility | $15,849.65 | $15,849.65 | $15,849.65 | |
Highmark BCBS
| Facility | $17,909.57 | $20,506.22 | $25,249.28 |