| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,563.31 | $1,563.31 | $8,500.00 | |
Medica
| Facility | $1,563.31 | $2,183.82 | $4,689.93 |
Breast reconstruction; with latissimus dorsi flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,563.31 | $1,563.31 | $8,500.00 | |
Medica
| Facility | $1,563.31 | $2,183.82 | $4,689.93 |