| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $302.00 | |
Aetna
| Professional | $173.78 | $223.87 | $436.52 | |
Cigna
| Facility | $338.84 | $338.84 | $338.84 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 |
Brachytherapy source, nonstranded, high dose rate iridium-192, per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $302.00 | |
Aetna
| Professional | $173.78 | $223.87 | $436.52 | |
Cigna
| Facility | $338.84 | $338.84 | $338.84 | |
Cigna
| Professional | $346.74 | $346.74 | $346.74 |