| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,454.36 | $3,140.00 | $13,647.99 |
Rmvl Ruptured Breast Implant W/Implant Contents
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,454.36 | $3,140.00 | $13,647.99 |