| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.44 | $3.44 | $3.44 | |
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
United
| Facility | $387.50 | $403.59 | $448.08 |
Brachytherapy Source Non-Stranded Palladium-103
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.44 | $3.44 | $3.44 | |
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
United
| Facility | $387.50 | $403.59 | $448.08 |