| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $543.09 | $792.04 | $1,173.07 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Level 2 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $543.09 | $792.04 | $1,173.07 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |