| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,445.44 | $26,302.68 | $26,302.68 | |
Medica
| Professional | $2,951.21 | $2,951.21 | $2,951.21 |
Mammaplasty Augmentation W/O Prosthetic Implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,445.44 | $26,302.68 | $26,302.68 | |
Medica
| Professional | $2,951.21 | $2,951.21 | $2,951.21 |