| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $648.11 | $648.11 | $648.11 | |
United
| Professional | $575.50 | $919.32 | $1,385.71 |
High dose rate electronic brachytherapy, interstitial or intracavitary treatment, per fraction, includes basic dosimetry, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $648.11 | $648.11 | $648.11 | |
United
| Professional | $575.50 | $919.32 | $1,385.71 |