| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $180.96 | $203.20 | $309.33 |
Medcost
| Facility | 26 | $240.15 | $292.29 | $483.30 |
Wellcare
| Facility | 26 | $1,325.36 | $1,660.64 | $1,660.64 |
Ct Guidance &Monitoring Visc Tiss Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $180.96 | $203.20 | $309.33 |
Medcost
| Facility | 26 | $240.15 | $292.29 | $483.30 |
Wellcare
| Facility | 26 | $1,325.36 | $1,660.64 | $1,660.64 |