| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $30.20 | $30.20 | $1,513.56 | |
Medica
| Facility | $42.66 | $2,137.96 | $4,073.80 |
Low dose rate (LDR) prostate brachytherapy services, composite rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $30.20 | $30.20 | $1,513.56 | |
Medica
| Facility | $42.66 | $2,137.96 | $4,073.80 |