| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,473.04 | $6,782.00 | $13,413.92 | |
Aetna
| Professional | $4,072.08 | $4,072.08 | $13,413.92 |
Unlisted Procedure Breast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,473.04 | $6,782.00 | $13,413.92 | |
Aetna
| Professional | $4,072.08 | $4,072.08 | $13,413.92 |