| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $350.43 | $378.61 | $378.61 |
Cigna
| Facility | 26 | $471.29 | $550.73 | $888.32 |
Quartz
| Facility | 26 | $1,693.28 | $1,693.28 | $1,693.28 |
Ct Guidance &Monitoring Visc Tiss Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $350.43 | $378.61 | $378.61 |
Cigna
| Facility | 26 | $471.29 | $550.73 | $888.32 |
Quartz
| Facility | 26 | $1,693.28 | $1,693.28 | $1,693.28 |