| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Medica
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |
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 | $11,481.54 | $11,481.54 | $11,481.54 | |
Medica
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
United
| Facility | $2,691.53 | $2,691.53 | $2,691.53 |