| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $51.12 | $51.12 | |
Aetna
| Professional | $51.12 | $51.12 | $51.12 | |
BCBS
| Facility | $69.38 | $69.38 | $104.07 |
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 | $51.12 | |
Aetna
| Professional | $51.12 | $51.12 | $51.12 | |
BCBS
| Facility | $69.38 | $69.38 | $104.07 |