| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,166.36 | $7,166.36 | $7,166.36 | |
Aetna
| Professional | $292.88 | $292.88 | $292.88 | |
HMSA
| Professional | $668.00 | $699.48 | $699.48 |
Prosthesis, breast (implantable)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,166.36 | $7,166.36 | $7,166.36 | |
Aetna
| Professional | $292.88 | $292.88 | $292.88 | |
HMSA
| Professional | $668.00 | $699.48 | $699.48 |