| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.19 | $870.96 | $2,089.30 | |
United
| Facility | $2,630.27 | $2,754.23 | $10,471.29 | |
United
| Professional | $1,122.02 | $3,467.37 | $7,244.36 |
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 | $380.19 | $870.96 | $2,089.30 | |
United
| Facility | $2,630.27 | $2,754.23 | $10,471.29 | |
United
| Professional | $1,122.02 | $3,467.37 | $7,244.36 |