| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.69 | $454.69 | $454.69 | |
Aetna
| Professional | $9.55 | $454.69 | $881.49 | |
United
| Professional | $753.55 | $987.43 | $1,352.16 |
Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $454.69 | $454.69 | $454.69 | |
Aetna
| Professional | $9.55 | $454.69 | $881.49 | |
United
| Professional | $753.55 | $987.43 | $1,352.16 |