| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $288.31 | $392.06 | $506.21 | |
Providence
| Facility | $288.31 | $392.06 | $690.59 |
Level 1 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $288.31 | $392.06 | $506.21 | |
Providence
| Facility | $288.31 | $392.06 | $690.59 |