| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,228.96 | $12,550.33 | $16,204.35 | |
Providence
| Facility | $9,228.96 | $12,550.33 | $22,106.60 |
Level 3 Breast/Lymphatic Surgery and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $9,228.96 | $12,550.33 | $16,204.35 | |
Providence
| Facility | $9,228.96 | $12,550.33 | $22,106.60 |