| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,489.01 | $3,580.50 | $3,858.73 | |
United
| Professional | $4,020.52 | $7,087.20 | $15,355.59 |
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,489.01 | $3,580.50 | $3,858.73 | |
United
| Professional | $4,020.52 | $7,087.20 | $15,355.59 |