| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $201.14 | $386.69 | $794.18 | |
Cigna
| Facility | $735.62 | $735.62 | $735.62 | |
Medical Mutual of Ohio
| Facility | $735.62 | $735.62 | $735.62 |
Level 1 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $201.14 | $386.69 | $794.18 | |
Cigna
| Facility | $735.62 | $735.62 | $735.62 | |
Medical Mutual of Ohio
| Facility | $735.62 | $735.62 | $735.62 |