| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.22 | $226.22 | $226.22 | |
Aetna
| Professional | $226.22 | $309.50 | $309.50 | |
Medica
| Facility | $117.81 | $523.05 | $1,134.27 | |
Midlands
| Facility | $513.59 | $513.59 | $599.17 |
Brachytherapy Source Non-Stranded High Dose Rateiridum-192 Per Source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.22 | $226.22 | $226.22 | |
Aetna
| Professional | $226.22 | $309.50 | $309.50 | |
Medica
| Facility | $117.81 | $523.05 | $1,134.27 | |
Midlands
| Facility | $513.59 | $513.59 | $599.17 |