| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $199.53 | $269.15 | $478.63 | |
Providence
| Facility | $199.53 | $275.42 | $891.25 |
Iodine I-125 sodium iodide
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $199.53 | $269.15 | $478.63 | |
Providence
| Facility | $199.53 | $275.42 | $891.25 |