| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,174.90 | $8,511.38 | |
Medica
| Facility | $1,174.90 | $1,905.46 | $14,791.08 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |
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 | $1,096.48 | $1,174.90 | $8,511.38 | |
Medica
| Facility | $1,174.90 | $1,905.46 | $14,791.08 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |