| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,720.00 | $4,720.00 | $4,720.00 | |
Aetna
| Professional | $3,768.95 | $3,768.95 | $4,720.00 |
Prosthesis, penile, noninflatable
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,720.00 | $4,720.00 | $4,720.00 | |
Aetna
| Professional | $3,768.95 | $3,768.95 | $4,720.00 |