| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,399.57 | $11,399.57 | $11,399.57 | |
BCBS
| Facility | $15,692.77 | $19,300.23 | $23,740.35 | |
United
| Facility | $930.00 | $3,951.00 | $6,625.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $11,399.57 | $11,399.57 | $11,399.57 | |
BCBS
| Facility | $15,692.77 | $19,300.23 | $23,740.35 | |
United
| Facility | $930.00 | $3,951.00 | $6,625.00 |