| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,772.28 | $7,542.87 | $12,010.09 | |
Medica
| Facility | $875.00 | $3,317.00 | $5,962.62 | |
United
| Facility | $875.00 | $2,900.00 | $5,543.93 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $4,772.28 | $7,542.87 | $12,010.09 | |
Medica
| Facility | $875.00 | $3,317.00 | $5,962.62 | |
United
| Facility | $875.00 | $2,900.00 | $5,543.93 |