| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,556.16 | $1,556.16 | $1,556.16 | |
Priority Health
| Facility | $1,556.16 | $1,556.16 | $1,556.16 |
Level 4 Radiation Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,556.16 | $1,556.16 | $1,556.16 | |
Priority Health
| Facility | $1,556.16 | $1,556.16 | $1,556.16 |