| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,677.35 | $4,677.35 | $4,677.35 |
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,677.35 | $4,677.35 | $4,677.35 |