| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $2,041.74 | |
Martin's Point
| Facility | $891.25 | $891.25 | $2,041.74 |
Removal of tissue expander without insertion of implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $2,041.74 | |
Martin's Point
| Facility | $891.25 | $891.25 | $2,041.74 |