| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.76 | $45.76 | $45.76 | |
Aetna
| Professional | $45.76 | $216.80 | $216.80 | |
Medica
| Facility | $65.44 | $366.39 | $594.03 | |
Midlands
| Facility | $846.75 | $846.75 | $987.88 |
Brachytherapy Source Non-Stranded Non-High Dose Rate Iridium-192 Per Source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.76 | $45.76 | $45.76 | |
Aetna
| Professional | $45.76 | $216.80 | $216.80 | |
Medica
| Facility | $65.44 | $366.39 | $594.03 | |
Midlands
| Facility | $846.75 | $846.75 | $987.88 |