| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $59.21 | $59.21 | $93.76 |
Cigna
| Facility | 26 | $68.38 | $68.38 | $68.38 |
Medcost
| Facility | 26 | $69.61 | $73.00 | $147.33 |
Wellcare
| Facility | 26 | $140.60 | $142.34 | $302.33 |
Surface application of low dose rate radionuclide source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $59.21 | $59.21 | $93.76 |
Cigna
| Facility | 26 | $68.38 | $68.38 | $68.38 |
Medcost
| Facility | 26 | $69.61 | $73.00 | $147.33 |
Wellcare
| Facility | 26 | $140.60 | $142.34 | $302.33 |