| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $165.96 | $165.96 | $208.93 | |
Medica
| Facility | $512.86 | $512.86 | $512.86 | |
Medica
| Professional | $213.80 | $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 | $165.96 | $165.96 | $208.93 | |
Medica
| Facility | $512.86 | $512.86 | $512.86 | |
Medica
| Professional | $213.80 | $512.86 | $512.86 |