| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $8.91 | $8.91 | |
Medica
| Facility | $12.59 | $30.20 | $100.00 | |
United
| Facility | $3.72 | $3.72 | $14.45 |
Brachytherapy planar source, palladium-103, per sq mm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $8.91 | $8.91 | |
Medica
| Facility | $12.59 | $30.20 | $100.00 | |
United
| Facility | $3.72 | $3.72 | $14.45 |