| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $196.07 | $242.59 | $292.44 | |
Cigna
| Facility | $789.96 | $935.11 | $1,119.28 |
Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $196.07 | $242.59 | $292.44 | |
Cigna
| Facility | $789.96 | $935.11 | $1,119.28 |