| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.58 | $423.51 | $424.82 | |
Cigna
| Facility | $342.25 | $342.25 | $342.25 | |
Cigna
| Professional | $86.96 | $99.99 | $99.99 |
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 | $420.58 | $423.51 | $424.82 | |
Cigna
| Facility | $342.25 | $342.25 | $342.25 | |
Cigna
| Professional | $86.96 | $99.99 | $99.99 |