| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.22 | $104.22 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $104.22 | |
BCBS
| Facility | $196.05 | $203.59 | $203.59 | |
Cigna
| Facility | $195.41 | $195.41 | $195.41 |
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 | $104.22 | |
Aetna
| Professional | $104.22 | $104.22 | $104.22 | |
BCBS
| Facility | $196.05 | $203.59 | $203.59 | |
Cigna
| Facility | $195.41 | $195.41 | $195.41 |