| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $242.69 | $432.20 | $858.80 |
Cigna
| Facility | 26 | $411.06 | $411.06 | $411.06 |
Medical Mutual of Ohio
| Facility | 26 | $411.06 | $411.06 | $411.06 |
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 | $242.69 | $432.20 | $858.80 |
Cigna
| Facility | 26 | $411.06 | $411.06 | $411.06 |
Medical Mutual of Ohio
| Facility | 26 | $411.06 | $411.06 | $411.06 |