| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $524.81 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $208.93 | $363.08 | $2,630.27 | |
United
| Facility | $912.01 | $1,479.11 | $3,801.89 |
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $524.81 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $208.93 | $363.08 | $2,630.27 | |
United
| Facility | $912.01 | $1,479.11 | $3,801.89 |