| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,179.54 | $10,175.36 | $14,552.94 | |
Moda Health
| Facility | $921.14 | $3,677.38 | $5,258.65 | |
Providence
| Facility | $921.14 | $3,677.38 | $5,258.65 |
Insertion or replacement of breast implant on separate day from mastectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,179.54 | $10,175.36 | $14,552.94 | |
Moda Health
| Facility | $921.14 | $3,677.38 | $5,258.65 | |
Providence
| Facility | $921.14 | $3,677.38 | $5,258.65 |