| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.06 | $47.06 | $67.30 | |
Aetna
| Professional | $47.06 | $47.06 | $53.03 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 |
Breast prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.06 | $47.06 | $67.30 | |
Aetna
| Professional | $47.06 | $47.06 | $53.03 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 |