| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.06 | $47.06 | $53.03 | |
Aetna
| Professional | $47.06 | $47.06 | $53.03 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |
Breast prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.06 | $47.06 | $53.03 | |
Aetna
| Professional | $47.06 | $47.06 | $53.03 | |
Hometown Health
| Professional | $200.00 | $200.00 | $493.00 |