| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $651.70 | $1,252.90 | $2,573.16 | |
Cigna
| Facility | $2,383.40 | $2,383.40 | $2,383.40 | |
Medical Mutual of Ohio
| Facility | $2,383.40 | $2,383.40 | $2,383.40 |
Level 2 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $651.70 | $1,252.90 | $2,573.16 | |
Cigna
| Facility | $2,383.40 | $2,383.40 | $2,383.40 | |
Medical Mutual of Ohio
| Facility | $2,383.40 | $2,383.40 | $2,383.40 |