| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.00 | $381.00 | $390.40 | |
Anthem BCBS
| Professional | $111.13 | $111.13 | $111.13 | |
Cigna
| Facility | $160.22 | $431.67 | $511.70 | |
Medica
| Facility | $354.38 | $418.41 | $856.18 |
Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.00 | $381.00 | $390.40 | |
Anthem BCBS
| Professional | $111.13 | $111.13 | $111.13 | |
Cigna
| Facility | $160.22 | $431.67 | $511.70 | |
Medica
| Facility | $354.38 | $418.41 | $856.18 |