| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.17 | $48.17 | $57.80 | |
Aetna
| Professional | $45.76 | $48.17 | $48.17 | |
Harvard Pilgrim
| Professional | $564.50 | $624.11 | $823.83 |
Brachytherapy source, nonstranded, nonhigh dose rate iridium-192, per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.17 | $48.17 | $57.80 | |
Aetna
| Professional | $45.76 | $48.17 | $48.17 | |
Harvard Pilgrim
| Professional | $564.50 | $624.11 | $823.83 |