| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.53 | $249.53 | $410.96 | |
Cigna
| Facility | $47,220.00 | $59,563.00 | $64,405.00 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |
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 | $249.53 | $249.53 | $410.96 | |
Cigna
| Facility | $47,220.00 | $59,563.00 | $64,405.00 | |
United
| Facility | $3,705.00 | $5,265.00 | $10,536.00 |