| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.76 | $45.76 | $48.17 | |
Harvard Pilgrim
| Professional | $564.50 | $564.50 | $564.50 | |
Martin's Point
| Professional | $45.76 | $45.76 | $48.17 |
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 | $48.17 | |
Harvard Pilgrim
| Professional | $564.50 | $564.50 | $564.50 | |
Martin's Point
| Professional | $45.76 | $45.76 | $48.17 |