| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Molina
| Professional | $45.00 | $60.00 | $85.00 | |
United
| Facility | $9.26 | $9.26 | $20.51 |
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 | |
Molina
| Professional | $45.00 | $60.00 | $85.00 | |
United
| Facility | $9.26 | $9.26 | $20.51 |