| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,375.38 | $9,813.00 | $14,795.50 | |
Moda Health
| Facility | $1,421.30 | $5,695.00 | $8,143.85 | |
Providence
| Facility | $1,421.30 | $5,695.00 | $8,143.85 |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,375.38 | $9,813.00 | $14,795.50 | |
Moda Health
| Facility | $1,421.30 | $5,695.00 | $8,143.85 | |
Providence
| Facility | $1,421.30 | $5,695.00 | $8,143.85 |