| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.20 | $167.20 | $167.20 | |
Aetna
| Professional | $167.20 | $192.49 | $325.58 | |
Cigna
| Professional | $45.66 | $48.51 | $77.04 | |
United
| Professional | $263.63 | $345.47 | $473.03 |
Optical coherence tomography of breast, surgical cavity; real-time intraoperative
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.20 | $167.20 | $167.20 | |
Aetna
| Professional | $167.20 | $192.49 | $325.58 | |
Cigna
| Professional | $45.66 | $48.51 | $77.04 | |
United
| Professional | $263.63 | $345.47 | $473.03 |