| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $107.15 | $131.83 | $181.97 | |
Medica
| Professional | $512.86 | $512.86 | $512.86 |
Strsc X-Ray Gdn Loclzj Target Vol Dlvr Radj Ther
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $107.15 | $131.83 | $181.97 | |
Medica
| Professional | $512.86 | $512.86 | $512.86 |