| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $361.16 | $873.73 | $1,092.08 |
Medica
| Facility | 26 | $617.00 | $1,205.01 | $1,205.01 |
Infusion or instillation of radioelement solution (includes 3-month follow-up care)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $361.16 | $873.73 | $1,092.08 |
Medica
| Facility | 26 | $617.00 | $1,205.01 | $1,205.01 |