| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.42 | $447.42 | $8,500.00 | |
Medica
| Facility | $447.42 | $658.74 | $1,342.26 |
Lymphangiotomy or other operations on lymphatic channels
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.42 | $447.42 | $8,500.00 | |
Medica
| Facility | $447.42 | $658.74 | $1,342.26 |