| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.42 | $281.85 | $281.85 | |
Cigna
| Professional | $120.50 | $198.79 | $198.79 | |
United
| Professional | $102.65 | $239.71 | $424.93 |
Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.42 | $281.85 | $281.85 | |
Cigna
| Professional | $120.50 | $198.79 | $198.79 | |
United
| Professional | $102.65 | $239.71 | $424.93 |