| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $257.19 | $374.59 | $494.60 |
Unlisted procedure, therapeutic radiology treatment management
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $257.19 | $374.59 | $494.60 |