| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $110.00 | $110.00 | $110.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |
Unlisted procedure, therapeutic radiology treatment management
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $110.00 | $110.00 | $110.00 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 |