| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $12.02 | $1,047.13 | |
United
| Professional | $275.42 | $1,148.15 | $1,513.56 |
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
| Professional | $6.03 | $12.02 | $1,047.13 | |
United
| Professional | $275.42 | $1,148.15 | $1,513.56 |