| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $6,606.93 | $14,454.40 | |
Moda Health
| Facility | $616.60 | $831.76 | $4,365.16 | |
Providence
| Facility | $831.76 | $3,162.28 | $4,466.84 |
Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $6,606.93 | $14,454.40 | |
Moda Health
| Facility | $616.60 | $831.76 | $4,365.16 | |
Providence
| Facility | $831.76 | $3,162.28 | $4,466.84 |