| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,098.63 | $2,098.63 | $2,510.03 | |
Cigna
| Professional | $2,316.69 | $2,316.69 | $2,316.69 | |
United
| Professional | $955.91 | $2,036.69 | $4,637.21 |
Image guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,098.63 | $2,098.63 | $2,510.03 | |
Cigna
| Professional | $2,316.69 | $2,316.69 | $2,316.69 | |
United
| Professional | $955.91 | $2,036.69 | $4,637.21 |