| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $139.37 | $170.43 | $539.54 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $209.43 | $265.14 | $426.14 |
Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $139.37 | $170.43 | $539.54 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $209.43 | $265.14 | $426.14 |