| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $160.22 | $431.67 | $511.70 | |
Medica
| Facility | $354.38 | $418.41 | $856.18 |
Unlisted procedure, therapeutic radiology clinical treatment planning
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $160.22 | $431.67 | $511.70 | |
Medica
| Facility | $354.38 | $418.41 | $856.18 |