| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,232.66 | $5,232.66 | $5,232.66 | |
Priority Health
| Facility | $5,232.66 | $5,232.66 | $5,232.66 |
Level 3 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,232.66 | $5,232.66 | $5,232.66 | |
Priority Health
| Facility | $5,232.66 | $5,232.66 | $5,232.66 |