| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $210.34 | $261.61 | $421.84 | |
Medical Mutual of Ohio
| Professional | $121.24 | $121.24 | $165.99 |
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; 11-19 MeV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $210.34 | $261.61 | $421.84 | |
Medical Mutual of Ohio
| Professional | $121.24 | $121.24 | $165.99 |