| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $384.63 | $478.39 | $771.39 | |
Medical Mutual of Ohio
| Professional | $159.26 | $159.26 | $290.04 |
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 MeV or greater
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $384.63 | $478.39 | $771.39 | |
Medical Mutual of Ohio
| Professional | $159.26 | $159.26 | $290.04 |