| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.33 | $118.33 | $118.33 |
Health Alliance Plan
| Facility | 26 | $86.59 | $86.59 | $118.33 |
Us &Mntr Parenchymal Tissue Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.33 | $118.33 | $118.33 |
Health Alliance Plan
| Facility | 26 | $86.59 | $86.59 | $118.33 |