| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,494.27 | $2,494.27 | $2,494.27 | |
Cigna
| Facility | $793.60 | $793.60 | $1,226.83 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $47.92 | $47.92 | $47.92 |
Unlisted Procedure Therapeutic Radiology Tx Mgmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,494.27 | $2,494.27 | $2,494.27 | |
Cigna
| Facility | $793.60 | $793.60 | $1,226.83 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $47.92 | $47.92 | $47.92 |