| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,068.92 | $3,068.92 | $3,068.92 | |
Priority Health
| Facility | $3,068.92 | $3,068.92 | $3,068.92 |
Level 3 Therapeutic Radiation Treatment Preparation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,068.92 | $3,068.92 | $3,068.92 | |
Priority Health
| Facility | $3,068.92 | $3,068.92 | $3,068.92 |