| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $229.00 | $318.00 | |
BCBS
| Facility | $206.25 | $312.93 | $548.70 | |
Medica
| Facility | $320.14 | $343.96 | $439.26 |
Unlisted Px Ther Radiology Clinical Tx Planning
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.00 | $229.00 | $318.00 | |
BCBS
| Facility | $206.25 | $312.93 | $548.70 | |
Medica
| Facility | $320.14 | $343.96 | $439.26 |