| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $104.71 | $104.71 | |
BCBS
| Facility | $5,128.61 | $6,165.95 | $8,317.64 | |
United
| Facility | $128.82 | $204.17 | $263.03 |
Brachytherapy source, nonstranded, high activity, iodine-125, greater than 1.01 mCi (NIST), per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $104.71 | $104.71 | |
BCBS
| Facility | $5,128.61 | $6,165.95 | $8,317.64 | |
United
| Facility | $128.82 | $204.17 | $263.03 |