| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $3,175.44 | $4,368.87 | $5,321.55 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |
Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $3,175.44 | $4,368.87 | $5,321.55 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |