| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $631.99 | $631.99 | $8,500.00 | |
Medica
| Facility | $631.99 | $803.61 | $1,895.97 |
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 | $631.99 | $631.99 | $8,500.00 | |
Medica
| Facility | $631.99 | $803.61 | $1,895.97 |