| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.08 | $209.08 | $209.08 | |
Medica
| Facility | $209.08 | $257.83 | $627.24 |
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 | $209.08 | $209.08 | $209.08 | |
Medica
| Facility | $209.08 | $257.83 | $627.24 |