| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $786.27 | $786.27 | $8,500.00 | |
Medica
| Facility | $0.67 | $786.27 | $2,358.81 |
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $786.27 | $786.27 | $8,500.00 | |
Medica
| Facility | $0.67 | $786.27 | $2,358.81 |