| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,848.03 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $4,805.26 | $6,727.36 | $6,871.52 | |
Providence
| Facility | $4,805.26 | $6,727.36 | $6,871.52 |
Insertion of tissue expander(s) for other than breast, including subsequent expansion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,848.03 | $8,303.41 | $13,413.92 | |
Moda Health
| Facility | $4,805.26 | $6,727.36 | $6,871.52 | |
Providence
| Facility | $4,805.26 | $6,727.36 | $6,871.52 |