| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $6,025.60 | |
Kaiser Permanente
| Professional | $1,230.27 | $1,348.96 | $1,659.59 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |
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 | $2,570.40 | $6,025.60 | $6,025.60 | |
Kaiser Permanente
| Professional | $1,230.27 | $1,348.96 | $1,659.59 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |