| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,175.00 | $28,175.00 | $28,175.00 | |
Cigna
| Facility | $12,934.74 | $21,782.50 | $22,159.24 | |
United
| Facility | $8,306.00 | $10,023.86 | $11,489.77 |
Pulmonary embolism w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,175.00 | $28,175.00 | $28,175.00 | |
Cigna
| Facility | $12,934.74 | $21,782.50 | $22,159.24 | |
United
| Facility | $8,306.00 | $10,023.86 | $11,489.77 |