| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Medica
| Facility | $13.73 | $16.22 | $26.30 | |
Midlands
| Facility | $7.04 | $7.04 | $8.21 |
Brachytherapy Planar Source Palladium-103 Per Square Millimeter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
Medica
| Facility | $13.73 | $16.22 | $26.30 | |
Midlands
| Facility | $7.04 | $7.04 | $8.21 |