| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.58 | $374.58 | $415.30 | |
BCBS
| Facility | $379.24 | $498.80 | $964.84 | |
Medica
| Facility | $165.28 | $196.55 | $277.10 | |
Midlands
| Facility | $106.70 | $128.03 | $171.42 |
Unlistd Px Med Radj Physic Dosim&Tx Dev&Spec Svc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.58 | $374.58 | $415.30 | |
BCBS
| Facility | $379.24 | $498.80 | $964.84 | |
Medica
| Facility | $165.28 | $196.55 | $277.10 | |
Midlands
| Facility | $106.70 | $128.03 | $171.42 |