| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.91 | $8.91 | $8.91 | |
Medica
| Facility | $12.02 | $12.02 | $12.02 | |
Molina
| Professional | $50.12 | $58.88 | $85.11 | |
United
| Facility | $12.30 | $12.30 | $16.22 |
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 | $12.02 | $12.02 | $12.02 | |
Molina
| Professional | $50.12 | $58.88 | $85.11 | |
United
| Facility | $12.30 | $12.30 | $16.22 |