| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $15.48 | $82.50 | $100.00 |
Brachytherapy Source Non-Stranded Not Otherwise Specified Per Source
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $15.48 | $82.50 | $100.00 |