| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.64 | $776.64 | $931.97 | |
Aetna
| Professional | $47.06 | $105.00 | $776.64 |
Breast prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.64 | $776.64 | $931.97 | |
Aetna
| Professional | $47.06 | $105.00 | $776.64 |