| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $59,029.00 | |
Aetna
| Professional | $104.22 | $104.22 | $304.11 | |
Cigna
| Facility | $64.00 | $170.98 | $203.55 |
Brachytherapy Source Non-Stranded High Activity Iodine-125 Greater Than 1.01 Mci (Nist) Per Source.
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $59,029.00 | |
Aetna
| Professional | $104.22 | $104.22 | $304.11 | |
Cigna
| Facility | $64.00 | $170.98 | $203.55 |