| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Cigna
| Facility | $244.93 | $326.58 | $372.73 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 |
Unlisted procedure, therapeutic radiology treatment management
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Cigna
| Facility | $244.93 | $326.58 | $372.73 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 |