| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.76 | $45.76 | $45.76 | |
Aetna
| Professional | $45.76 | $45.76 | $45.76 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $44.20 | $44.20 | $44.20 |
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 | $45.76 | $45.76 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $44.20 | $44.20 | $44.20 |