| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,989.95 | $3,989.95 | $3,989.95 | |
Aetna
| Professional | $3,768.95 | $3,989.95 | $3,989.95 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
Prosthesis, Penile, Non-Inf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,989.95 | $3,989.95 | $3,989.95 | |
Aetna
| Professional | $3,768.95 | $3,989.95 | $3,989.95 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |