| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.88 | $391.88 | $391.88 | |
Martin's Point
| Facility | $391.88 | $391.88 | $391.88 |
Exc Tumor Soft Tiss Shoulder Subfasc <5cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.88 | $391.88 | $391.88 | |
Martin's Point
| Facility | $391.88 | $391.88 | $391.88 |