| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $198.21 | $198.21 | $198.21 |
Kaiser Permanente
| Professional | 26 | $221.21 | $272.52 | $350.40 |
Ct Guidance &Monitoring Visc Tiss Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $198.21 | $198.21 | $198.21 |
Kaiser Permanente
| Professional | 26 | $221.21 | $272.52 | $350.40 |