| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $245.20 | $436.29 | $802.71 |
Hally Health
| Professional | 26 | $294.33 | $420.75 | $1,278.41 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
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 | $245.20 | $436.29 | $802.71 |
Hally Health
| Professional | 26 | $294.33 | $420.75 | $1,278.41 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |