| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $1,513.56 | $1,819.70 | $2,511.89 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
Mastectomy, radical, including pectoral muscles, axillary lymph nodes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $1,513.56 | $1,819.70 | $2,511.89 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |