| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $269.62 | $269.62 | $269.62 |
Sanford Health Plan
| Professional | 26 | $295.85 | $427.68 | $514.92 |
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 | $269.62 | $269.62 | $269.62 |
Sanford Health Plan
| Professional | 26 | $295.85 | $427.68 | $514.92 |