| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Martin's Point
| Professional | $9.60 | $9.60 | $9.60 | |
United
| Facility | $6.47 | $12.26 | $15.94 |
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 | |
Martin's Point
| Professional | $9.60 | $9.60 | $9.60 | |
United
| Facility | $6.47 | $12.26 | $15.94 |