| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,494.35 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,895.07 | $7,582.96 | $10,843.63 | |
Providence
| Facility | $1,895.07 | $7,582.96 | $10,843.63 |
Breast reconstruction; with latissimus dorsi flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,494.35 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,895.07 | $7,582.96 | $10,843.63 | |
Providence
| Facility | $1,895.07 | $7,582.96 | $10,843.63 |