| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $142.19 | $177.07 | $221.34 |
Radiation treatment delivery, MeV<=5; intermediate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $142.19 | $177.07 | $221.34 |