| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $976.93 | $976.93 | $8,500.00 | |
Medica
| Facility | $976.93 | $1,084.99 | $1,660.78 |
Insertion Tissue Expander Incl Sbsq Xpnsj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $976.93 | $976.93 | $8,500.00 | |
Medica
| Facility | $976.93 | $1,084.99 | $1,660.78 |