| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $235.62 | $412.02 |
Martin's Point
| Facility | 26 | $138.60 | $278.61 | $422.10 |
UPMC Health Plan
| Facility | 26 | $198.78 | $198.78 | $225.95 |
Mri Guidance For Parenchymal Tissue Ablation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $126.00 | $235.62 | $412.02 |
Martin's Point
| Facility | 26 | $138.60 | $278.61 | $422.10 |
UPMC Health Plan
| Facility | 26 | $198.78 | $198.78 | $225.95 |