| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,613.85 | $1,613.85 | $1,933.58 | |
Horizon BCBS
| Facility | $30,846.72 | $58,316.90 | $66,949.44 | |
Horizon BCBS
| Professional | $1,223.90 | $1,724.45 | $3,256.72 |
Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,613.85 | $1,613.85 | $1,933.58 | |
Horizon BCBS
| Facility | $30,846.72 | $58,316.90 | $66,949.44 | |
Horizon BCBS
| Professional | $1,223.90 | $1,724.45 | $3,256.72 |