| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,846.93 | $1,846.93 | $1,846.93 | |
United
| Professional | $1,892.54 | $2,686.40 | $2,959.63 |
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 | $1,846.93 | $1,846.93 | $1,846.93 | |
United
| Professional | $1,892.54 | $2,686.40 | $2,959.63 |