| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,203.08 | $2,203.08 | $2,203.08 | |
Medcost
| Professional | $675.94 | $785.88 | $1,395.00 |
Mastectomy Subcutaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $2,203.08 | $2,203.08 | $2,203.08 | |
Medcost
| Professional | $675.94 | $785.88 | $1,395.00 |