| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.55 | $9.55 | $9.55 | |
Aetna
| Professional | $9.55 | $9.55 | $612.14 | |
United
| Professional | $65.38 | $1,018.77 | $1,671.04 |
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 | $9.55 | $9.55 | $9.55 | |
Aetna
| Professional | $9.55 | $9.55 | $612.14 | |
United
| Professional | $65.38 | $1,018.77 | $1,671.04 |