| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $169.85 | $176.90 | $278.61 |
Cigna
| Facility | 26 | $208.08 | $208.08 | $208.08 |
Ct Guidance &Monitoring Visc Tiss Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $169.85 | $176.90 | $278.61 |
Cigna
| Facility | 26 | $208.08 | $208.08 | $208.08 |