| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.55 | $99.27 | $197.06 |
Cigna
| Facility | 26 | $94.27 | $94.27 | $94.27 |
Medical Mutual of Ohio
| Facility | 26 | $94.27 | $94.27 | $94.27 |
Surface application of low dose rate radionuclide source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.55 | $99.27 | $197.06 |
Cigna
| Facility | 26 | $94.27 | $94.27 | $94.27 |
Medical Mutual of Ohio
| Facility | 26 | $94.27 | $94.27 | $94.27 |