| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $51.12 | $59,029.00 | |
Aetna
| Professional | $49.81 | $51.12 | $604.41 | |
Cigna
| Facility | $64.00 | $72.84 | $86.73 | |
United
| Facility | $55.50 | $55.50 | $55.50 |
Brachytherapy Source Non-Stranded High Activity Paladium-103 Greater Than 2.2 Mci (Nist) Per Source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $51.12 | $59,029.00 | |
Aetna
| Professional | $49.81 | $51.12 | $604.41 | |
Cigna
| Facility | $64.00 | $72.84 | $86.73 | |
United
| Facility | $55.50 | $55.50 | $55.50 |