| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,650.78 | $1,650.78 | $1,650.78 | |
Martin's Point
| Facility | $1,650.78 | $1,650.78 | $1,650.78 |
Unlisted Procedure Breast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,650.78 | $1,650.78 | $1,650.78 | |
Martin's Point
| Facility | $1,650.78 | $1,650.78 | $1,650.78 |