| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Professional | $233.50 | $233.50 | $233.50 | |
Medica
| Facility | $30.00 | $31.50 | $100.00 |
Low dose rate (LDR) prostate brachytherapy services, composite rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Professional | $233.50 | $233.50 | $233.50 | |
Medica
| Facility | $30.00 | $31.50 | $100.00 |