| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,546.26 | $26,153.90 | $29,059.89 | |
United
| Facility | $2,654.00 | $3,447.00 | $7,350.00 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $24,546.26 | $26,153.90 | $29,059.89 | |
United
| Facility | $2,654.00 | $3,447.00 | $7,350.00 |