| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $750.79 | $15,537.60 | $26,542.00 | |
Medica
| Professional | $2,962.34 | $2,962.34 | $2,962.34 |
Mammaplasty Augmentation W/O Prosthetic Implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $750.79 | $15,537.60 | $26,542.00 | |
Medica
| Professional | $2,962.34 | $2,962.34 | $2,962.34 |