Go with a plastic surgeon over a regular md. P. Surgeons have the best technique and if you ask around, they might even be on your ins. plan. You'll spend anywhere from 3k to 5500 for removal. I have bc/bs ppo and it covered everything except 100$ hospital co pay and 77$ for the surgery. Just say you had it since puberty and you lost a lot of weight and your nips have been hurting for the past 6 months. But, if you look juiced, don't plan on the surgeon buying your excuse ...