| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.55 | $4,242.51 | $6,213.23 | |
Aetna
| Facility | 50 | $1,930.05 | $1,930.05 | $17,207.39 |
Medica
| Facility | $776.55 | $991.57 | $6,829.00 |
Revision Of Reconstructed Breast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.55 | $4,242.51 | $6,213.23 | |
Aetna
| Facility | 50 | $1,930.05 | $1,930.05 | $17,207.39 |
Medica
| Facility | $776.55 | $991.57 | $6,829.00 |