| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $42.66 | |
Cigna
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 |
Brachytherapy source, nonstranded, palladium-103, per source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $42.66 | |
Cigna
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 |