| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Health Alliance Plan
| Professional | $7.00 | $7.00 | $9.60 | |
Molina
| Professional | $30.00 | $30.00 | $65.00 | |
United
| Facility | $3.42 | $7.84 | $13.20 |
Brachytherapy planar source, palladium-103, per sq mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Health Alliance Plan
| Professional | $7.00 | $7.00 | $9.60 | |
Molina
| Professional | $30.00 | $30.00 | $65.00 | |
United
| Facility | $3.42 | $7.84 | $13.20 |