| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.71 | $268.37 | $268.37 | |
Cigna
| Professional | $128.19 | $198.79 | $316.83 | |
United
| Professional | $102.65 | $255.35 | $419.21 |
Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.71 | $268.37 | $268.37 | |
Cigna
| Professional | $128.19 | $198.79 | $316.83 | |
United
| Professional | $102.65 | $255.35 | $419.21 |