| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $161.49 | $161.49 | $201.86 |
Radiation treatment delivery, MeV<=5; intermediate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $161.49 | $161.49 | $201.86 |