| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,071.52 | $1,513.56 | $2,454.71 | |
United
| Professional | $1,479.11 | $2,187.76 | $4,570.88 |
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 | $1,071.52 | $1,513.56 | $2,454.71 | |
United
| Professional | $1,479.11 | $2,187.76 | $4,570.88 |