| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $630.96 | $8,511.38 | |
Medica
| Facility | $630.96 | $891.25 | $1,905.46 | |
United
| Facility | $5,370.32 | $5,888.44 | $5,888.44 |
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 | $616.60 | $630.96 | $8,511.38 | |
Medica
| Facility | $630.96 | $891.25 | $1,905.46 | |
United
| Facility | $5,370.32 | $5,888.44 | $5,888.44 |