| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,399.57 | $11,399.57 | $11,399.57 | |
BCBS
| Facility | $2,865.76 | $11,486.57 | $26,164.90 | |
United
| Facility | $746.00 | $2,415.00 | $6,585.00 |
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 | $2,865.76 | $11,486.57 | $26,164.90 | |
United
| Facility | $746.00 | $2,415.00 | $6,585.00 |