| 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 | |
Medica
| Facility | $4.92 | $5.81 | $9.43 | |
Midlands
| Facility | $119.66 | $119.66 | $139.60 |
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 | |
Medica
| Facility | $4.92 | $5.81 | $9.43 | |
Midlands
| Facility | $119.66 | $119.66 | $139.60 |