| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,569.79 | $3,017.93 | $6,198.08 | |
Cigna
| Facility | $5,741.01 | $5,741.01 | $5,741.01 | |
Medical Mutual of Ohio
| Facility | $5,741.01 | $5,741.01 | $5,741.01 |
Level 3 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,569.79 | $3,017.93 | $6,198.08 | |
Cigna
| Facility | $5,741.01 | $5,741.01 | $5,741.01 | |
Medical Mutual of Ohio
| Facility | $5,741.01 | $5,741.01 | $5,741.01 |