| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $146.72 | $146.72 | $533.41 |
AllWays Health Partners
| Facility | 26 | $199.77 | $443.15 | $1,660.64 |
Mass General Brigham
| Facility | 26 | $1,325.36 | $1,325.36 | $1,660.64 |
Ct Guidance &Monitoring Visc Tiss Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $146.72 | $146.72 | $533.41 |
AllWays Health Partners
| Facility | 26 | $199.77 | $443.15 | $1,660.64 |
Mass General Brigham
| Facility | 26 | $1,325.36 | $1,325.36 | $1,660.64 |