| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,241.00 | $1,241.00 | $1,241.00 |
Radiology Therapeutic and/or Chemotherapy Administration-Chemotherapy-Oral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,241.00 | $1,241.00 | $1,241.00 |