| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,302.39 | $4,302.39 | $5,519.00 | |
Moda Health
| Facility | $1,746.21 | $2,475.01 | $3,017.15 | |
United
| Facility | $3,700.00 | $15,872.00 | $70,019.00 |
Breast reconstruction; with latissimus dorsi flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,302.39 | $4,302.39 | $5,519.00 | |
Moda Health
| Facility | $1,746.21 | $2,475.01 | $3,017.15 | |
United
| Facility | $3,700.00 | $15,872.00 | $70,019.00 |