| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.19 | $1,181.19 | $8,500.00 | |
Medica
| Facility | $1,181.19 | $1,627.19 | $14,867.92 |
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 | $1,181.19 | $1,181.19 | $8,500.00 | |
Medica
| Facility | $1,181.19 | $1,627.19 | $14,867.92 |