| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $389.05 | $794.33 | $1,000.00 | |
Well Sense
| Facility | $2,511.89 | $2,511.89 | $2,511.89 |
Unlisted procedure, therapeutic radiology clinical treatment planning
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $389.05 | $794.33 | $1,000.00 | |
Well Sense
| Facility | $2,511.89 | $2,511.89 | $2,511.89 |