| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.10 | $883.10 | $10,000.00 | |
Medica
| Facility | $883.10 | $1,052.90 | $2,649.30 |
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.10 | $883.10 | $10,000.00 | |
Medica
| Facility | $883.10 | $1,052.90 | $2,649.30 |