| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,958.18 | $6,017.00 | $8,094.79 | |
United
| Facility | $750.00 | $2,739.00 | $4,402.00 |
Focused Ultrasound Ablation/Therapeutic Inter- Vention Other Than Uterine Leiomyomata With Magnetic Resonance (Mr) Guidance(Revised 07012013)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,958.18 | $6,017.00 | $8,094.79 | |
United
| Facility | $750.00 | $2,739.00 | $4,402.00 |