| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.06 | $230.72 | $291.30 | |
Cigna
| Professional | $198.79 | $198.79 | $1,041.46 | |
United
| Professional | $91.17 | $210.20 | $410.05 |
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 | $173.06 | $230.72 | $291.30 | |
Cigna
| Professional | $198.79 | $198.79 | $1,041.46 | |
United
| Professional | $91.17 | $210.20 | $410.05 |