| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Providence
| Professional | $119.56 | $119.56 | $119.56 |
Brachytherapy source, nonstranded, palladium-103, per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Providence
| Professional | $119.56 | $119.56 | $119.56 |