| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $12,589.25 | $12,589.25 | $42,657.95 | |
Lucent Health
| 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 |
|---|---|---|---|---|---|
Lucent Health
| Facility | $12,589.25 | $12,589.25 | $42,657.95 | |
Lucent Health
| Professional | $6,606.93 | $6,606.93 | $6,606.93 |