| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $79.29 | $1,017.25 | $1,946.29 |
Proton Tx Delivery Simple W/O Compensation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $79.29 | $1,017.25 | $1,946.29 |