| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $2,561.90 | $2,561.90 | $2,561.90 |
Aetna
| Facility | QK | $2,020.11 | $2,020.11 | $2,132.82 |
Aetna
| Facility | QX | $3,327.24 | $3,327.24 | $3,512.88 |
Anesthesia Reconstruction Breast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $2,561.90 | $2,561.90 | $2,561.90 |
Aetna
| Facility | QK | $2,020.11 | $2,020.11 | $2,132.82 |
Aetna
| Facility | QX | $3,327.24 | $3,327.24 | $3,512.88 |