| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,786.30 | $13,489.63 | $13,489.63 | |
Hometown Health
| Professional | $25.12 | $89.13 | $2,398.83 | |
Hometown Health
| Professional | $21.38 | $21.38 | $21.38 |
Breast Reconstruction Other Technique
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,786.30 | $13,489.63 | $13,489.63 | |
Hometown Health
| Professional | $25.12 | $89.13 | $2,398.83 | |
Hometown Health
| Professional | $21.38 | $21.38 | $21.38 |