| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.35 | $891.41 | $2,038.24 | |
Martin's Point
| Facility | $891.41 | $891.41 | $2,038.24 |
Removal Tissue Expander W/O Insertion Implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.35 | $891.41 | $2,038.24 | |
Martin's Point
| Facility | $891.41 | $891.41 | $2,038.24 |