| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.52 | $249.52 | $334.18 | |
Medica
| Facility | $55.00 | $400.66 | $3,986.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |
Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.52 | $249.52 | $334.18 | |
Medica
| Facility | $55.00 | $400.66 | $3,986.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |