| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,819.70 | $2,951.21 | $4,365.16 | |
Cigna
| Professional | $2,290.87 | $2,290.87 | $2,290.87 | |
United
| Professional | $263.03 | $3,630.78 | $10,232.93 |
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 | $1,819.70 | $2,951.21 | $4,365.16 | |
Cigna
| Professional | $2,290.87 | $2,290.87 | $2,290.87 | |
United
| Professional | $263.03 | $3,630.78 | $10,232.93 |