| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $286.73 | $343.53 | $575.04 | |
Oscar Health
| Professional | $100.90 | $376.70 | $577.29 | |
Priority Health
| Professional | $286.73 | $343.53 | $575.04 |
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 20 MeV or greater
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $286.73 | $343.53 | $575.04 | |
Oscar Health
| Professional | $100.90 | $376.70 | $577.29 | |
Priority Health
| Professional | $286.73 | $343.53 | $575.04 |