| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,862.09 | $2,089.30 | $2,344.23 | |
United
| Professional | $1,288.25 | $2,691.53 | $5,128.61 |
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,862.09 | $2,089.30 | $2,344.23 | |
United
| Professional | $1,288.25 | $2,691.53 | $5,128.61 |