| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.07 | $31.52 | $33.40 | |
Cigna
| Facility | $46.82 | $46.82 | $47.76 | |
Cigna
| Professional | $34.18 | $34.18 | $47.76 | |
United
| Professional | $30.91 | $35.39 | $49.46 |
External breast prosthesis garment, with mastectomy form, post mastectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.07 | $31.52 | $33.40 | |
Cigna
| Facility | $46.82 | $46.82 | $47.76 | |
Cigna
| Professional | $34.18 | $34.18 | $47.76 | |
United
| Professional | $30.91 | $35.39 | $49.46 |