| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,597.96 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,095.48 | $4,383.37 | $6,268.22 | |
Providence
| Facility | $1,095.48 | $4,383.37 | $6,268.22 |
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,597.96 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,095.48 | $4,383.37 | $6,268.22 | |
Providence
| Facility | $1,095.48 | $4,383.37 | $6,268.22 |