| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $6,084.00 | $7,424.00 | |
Kaiser Permanente
| Professional | $1,270.40 | $1,385.89 | $1,616.87 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |
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 | $2,528.00 | $6,084.00 | $7,424.00 | |
Kaiser Permanente
| Professional | $1,270.40 | $1,385.89 | $1,616.87 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |