| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,137.96 | $2,137.96 | $2,570.40 | |
Pacific Source
| Facility | $794.33 | $1,047.13 | $1,122.02 |
Mastectomy Subcutaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,137.96 | $2,137.96 | $2,570.40 | |
Pacific Source
| Facility | $794.33 | $1,047.13 | $1,122.02 |