| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $5,607.23 | $5,607.23 | $5,607.23 |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |
Mastectomy, simple, complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $5,607.23 | $5,607.23 | $5,607.23 |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |