| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,560.31 | $1,560.31 | $8,500.00 | |
Medica
| Facility | $1,560.31 | $1,932.83 | $2,554.61 |
Excision Ch Wal Tum W/Rib W/O Medstnl Lymphadec
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,560.31 | $1,560.31 | $8,500.00 | |
Medica
| Facility | $1,560.31 | $1,932.83 | $2,554.61 |