| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59,029.00 | $59,029.00 | $59,029.00 | |
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Cigna
| Facility | $4.92 | $4.92 | $5.86 | |
United
| Facility | $5.47 | $5.68 | $5.68 |
Brachytherapy planar source, palladium-103, per sq mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59,029.00 | $59,029.00 | $59,029.00 | |
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Cigna
| Facility | $4.92 | $4.92 | $5.86 | |
United
| Facility | $5.47 | $5.68 | $5.68 |