| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.00 | $83.00 | $441.85 |
Medcost
| Facility | 26 | $236.25 | $240.15 | $426.58 |
Ct Guidance &Monitoring Visc Tiss Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.00 | $83.00 | $441.85 |
Medcost
| Facility | 26 | $236.25 | $240.15 | $426.58 |