| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,064.75 | $1,064.75 | $1,064.75 | |
Providence
| Facility | $528.22 | $1,159.59 | $1,265.63 |
Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,064.75 | $1,064.75 | $1,064.75 | |
Providence
| Facility | $528.22 | $1,159.59 | $1,265.63 |