| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $776.64 | $830.49 | $1,830.33 | |
Kaiser Permanente
| Professional | $594.28 | $790.40 | $4,250.83 | |
United
| Professional | $1,489.25 | $2,135.16 | $3,652.91 |
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $776.64 | $830.49 | $1,830.33 | |
Kaiser Permanente
| Professional | $594.28 | $790.40 | $4,250.83 | |
United
| Professional | $1,489.25 | $2,135.16 | $3,652.91 |