| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $342.25 | $342.25 | $342.25 | |
Cigna
| Professional | $86.96 | $99.99 | $99.99 |
Unlisted procedure, therapeutic radiology clinical treatment planning
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $342.25 | $342.25 | $342.25 | |
Cigna
| Professional | $86.96 | $99.99 | $99.99 |