| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,399.57 | $11,399.57 | $11,399.57 | |
Medica
| Facility | $1,325.00 | $3,018.00 | $15,000.00 | |
United
| Facility | $1,438.00 | $2,874.00 | $5,813.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Professional | $11,399.57 | $11,399.57 | $11,399.57 | |
Medica
| Facility | $1,325.00 | $3,018.00 | $15,000.00 | |
United
| Facility | $1,438.00 | $2,874.00 | $5,813.00 |