| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.36 | $0.36 | $0.36 | |
Harvard Pilgrim
| Professional | $52.91 | $52.91 | $52.91 | |
Martin's Point
| Professional | $0.36 | $0.36 | $0.36 |
Brachytherapy Linear Source Non-Stranded Paladium-103 Per 1 Mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.36 | $0.36 | $0.36 | |
Harvard Pilgrim
| Professional | $52.91 | $52.91 | $52.91 | |
Martin's Point
| Professional | $0.36 | $0.36 | $0.36 |