| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $169.82 | $213.80 | $489.78 | |
Medica
| Facility | $147.91 | $147.91 | $245.47 | |
United
| Facility | $93.33 | $95.50 | $102.33 |
Unlisted procedure, therapeutic radiology clinical treatment planning
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $169.82 | $213.80 | $489.78 | |
Medica
| Facility | $147.91 | $147.91 | $245.47 | |
United
| Facility | $93.33 | $95.50 | $102.33 |