| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $663.19 | $663.19 | $663.19 | |
United
| Professional | $701.74 | $1,091.40 | $1,969.41 |
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 | $663.19 | $663.19 | $663.19 | |
United
| Professional | $701.74 | $1,091.40 | $1,969.41 |