| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,165.95 | $10,000.00 | $16,595.87 | |
Moda Health
| Facility | $2,570.40 | $3,630.78 | $18,620.87 | |
Providence
| Facility | $3,630.78 | $13,182.57 | $19,054.61 |
Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,165.95 | $10,000.00 | $16,595.87 | |
Moda Health
| Facility | $2,570.40 | $3,630.78 | $18,620.87 | |
Providence
| Facility | $3,630.78 | $13,182.57 | $19,054.61 |