| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $134.90 | $169.82 | $398.11 | |
United
| Professional | $128.82 | $165.96 | $239.88 |
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $134.90 | $169.82 | $398.11 | |
United
| Professional | $128.82 | $165.96 | $239.88 |