| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $870.96 | $1,288.25 | $4,168.69 | |
United
| Professional | $776.25 | $1,698.24 | $2,754.23 |
Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $870.96 | $1,288.25 | $4,168.69 | |
United
| Professional | $776.25 | $1,698.24 | $2,754.23 |