| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Cigna
| Facility | $346.74 | $346.74 | $346.74 | |
Martin's Point
| Facility | $2,570.40 | $2,570.40 | $2,570.40 |
Radiology Therapeutic and/or Chemotherapy Administration-Chemotherapy-Oral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Cigna
| Facility | $346.74 | $346.74 | $346.74 | |
Martin's Point
| Facility | $2,570.40 | $2,570.40 | $2,570.40 |