| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.76 | $45.76 | $45.76 | |
Moda Health
| Facility | $65.44 | $65.44 | $65.44 | |
Providence
| Facility | $62.69 | $62.69 | $65.44 |
Brachytherapy source, nonstranded, nonhigh dose rate iridium-192, per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.76 | $45.76 | $45.76 | |
Moda Health
| Facility | $65.44 | $65.44 | $65.44 | |
Providence
| Facility | $62.69 | $62.69 | $65.44 |