| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $432.40 | $432.40 | $432.40 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
MVP Health Care
| Professional | $348.00 | $348.00 | $348.00 |
Brachytherapy Source Non-Stranded High Dose Rateiridum-192 Per Source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $432.40 | $432.40 | $432.40 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
MVP Health Care
| Professional | $348.00 | $348.00 | $348.00 |