| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,141.25 | $2,141.25 | $2,565.46 | |
Pacific Source
| Facility | $798.70 | $999.17 | $1,131.52 |
Mastectomy Subcutaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,141.25 | $2,141.25 | $2,565.46 | |
Pacific Source
| Facility | $798.70 | $999.17 | $1,131.52 |