| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $156.44 | $189.86 | $255.43 | |
Cigna
| Facility | $161.34 | $206.26 | $392.85 |
Unlisted procedure, therapeutic radiology clinical treatment planning
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $156.44 | $189.86 | $255.43 | |
Cigna
| Facility | $161.34 | $206.26 | $392.85 |