| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $26,542.00 | $26,542.00 | $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 | $26,542.00 | $26,542.00 | $26,542.00 | |
Medica
| Professional | $2,962.34 | $2,962.34 | $2,962.34 |