| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,371.01 | $1,859.90 | $2,209.65 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Mastectomy, radical, including pectoral muscles, axillary lymph nodes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,371.01 | $1,859.90 | $2,209.65 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |