| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $295.12 | $8,511.38 | |
Medica
| Facility | $208.93 | $354.81 | $870.96 | |
United
| Facility | $5,370.32 | $5,888.44 | $5,888.44 |
Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $295.12 | $8,511.38 | |
Medica
| Facility | $208.93 | $354.81 | $870.96 | |
United
| Facility | $5,370.32 | $5,888.44 | $5,888.44 |