| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $670.48 | $670.48 | $670.48 | |
Priority Health
| Facility | $670.48 | $670.48 | $670.48 |
Level 1 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $670.48 | $670.48 | $670.48 | |
Priority Health
| Facility | $670.48 | $670.48 | $670.48 |