| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $10,900.00 | $13,875.00 | $15,752.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $11.55 | |
United
| Facility | $4,349.00 | $7,061.00 | $12,739.00 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $10,900.00 | $13,875.00 | $15,752.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $11.55 | |
United
| Facility | $4,349.00 | $7,061.00 | $12,739.00 |