| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $604.41 | $604.41 | $604.41 |
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
| Professional | $604.41 | $604.41 | $604.41 |