| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $415.47 | $415.47 | $415.47 | |
United
| Professional | $153.16 | $232.65 | $378.42 |
High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $415.47 | $415.47 | $415.47 | |
United
| Professional | $153.16 | $232.65 | $378.42 |