| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,715.35 | $12,589.25 | $26,302.68 | |
Medica
| Professional | $6,606.93 | $6,606.93 | $6,606.93 |
Breast Reconstruction Other Technique
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,715.35 | $12,589.25 | $26,302.68 | |
Medica
| Professional | $6,606.93 | $6,606.93 | $6,606.93 |