| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,471.29 | $18,197.01 | $43,651.58 | |
Martin's Point
| Facility | $10,471.29 | $18,197.01 | $43,651.58 |
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 | $10,471.29 | $18,197.01 | $43,651.58 | |
Martin's Point
| Facility | $10,471.29 | $18,197.01 | $43,651.58 |