| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,462.72 | $21,462.72 | $21,462.72 | |
Priority Health
| Facility | $21,462.72 | $21,462.72 | $21,462.72 |
Level 3 Breast/Lymphatic Surgery and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $21,462.72 | $21,462.72 | $21,462.72 | |
Priority Health
| Facility | $21,462.72 | $21,462.72 | $21,462.72 |