| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.10 | $274.10 | $786.25 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 |
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 | $274.10 | $274.10 | $786.25 | |
BCBS
| Facility | $64,999.99 | $81,499.99 | $94,999.99 |