| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,736.55 | $2,736.55 | $8,500.00 | |
Medica
| Facility | $2,736.55 | $3,699.55 | $8,209.65 | |
United
| Facility | $2,080.11 | $2,080.11 | $2,080.11 |
Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,736.55 | $2,736.55 | $8,500.00 | |
Medica
| Facility | $2,736.55 | $3,699.55 | $8,209.65 | |
United
| Facility | $2,080.11 | $2,080.11 | $2,080.11 |