| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.83 | $81.83 | $8,500.00 | |
Medica
| Facility | $81.83 | $114.50 | $245.49 |
Impltj Brain Intracavitary Chemotherapy Agent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.83 | $81.83 | $8,500.00 | |
Medica
| Facility | $81.83 | $114.50 | $245.49 |