| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.00 | $23,833.00 | $90,574.00 | |
Ambetter
| Facility | $398.61 | $1,155.54 | $2,690.86 | |
Medica
| Facility | $649.08 | $649.08 | $649.08 |
Radiology Therapeutic and/or Chemotherapy Administration-Radiation Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.00 | $23,833.00 | $90,574.00 | |
Ambetter
| Facility | $398.61 | $1,155.54 | $2,690.86 | |
Medica
| Facility | $649.08 | $649.08 | $649.08 |