| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $955.77 | $10,466.50 | $44,061.45 | |
Martin's Point
| Facility | $10,466.50 | $18,189.62 | $44,061.45 |
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 | $955.77 | $10,466.50 | $44,061.45 | |
Martin's Point
| Facility | $10,466.50 | $18,189.62 | $44,061.45 |