| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.06 | $53.03 | $53.03 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 |
Breast prosthesis, not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.06 | $53.03 | $53.03 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 |