| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,039.42 | $6,907.00 | $17,597.53 | |
Aetna
| Facility | 50 | $16,486.20 | $16,486.20 | $16,993.78 |
Highmark BCBS
| Facility | $15,665.89 | $18,357.50 | $39,121.06 |
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 | $1,039.42 | $6,907.00 | $17,597.53 | |
Aetna
| Facility | 50 | $16,486.20 | $16,486.20 | $16,993.78 |
Highmark BCBS
| Facility | $15,665.89 | $18,357.50 | $39,121.06 |