| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $104.71 | $302.00 | |
BCBS
| Facility | $134.90 | $263.03 | $363.08 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $173.78 | $173.78 | $173.78 |
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 | $302.00 | |
BCBS
| Facility | $134.90 | $263.03 | $363.08 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $173.78 | $173.78 | $173.78 |