| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.56 | $50.56 | $50.56 |
Medcost
| Facility | 26 | $73.00 | $94.00 | $179.86 |
Surface Applic Low Dose Rate Radionuclide Source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.56 | $50.56 | $50.56 |
Medcost
| Facility | 26 | $73.00 | $94.00 | $179.86 |