| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
Medica
| Facility | $14.82 | $17.04 | $100.00 |
Brachytherapy Source Stranded Palladium-103
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
Medica
| Facility | $14.82 | $17.04 | $100.00 |