| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $950.00 | $2,902.00 | $6,026.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |
Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $950.00 | $2,902.00 | $6,026.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |