| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,250.04 | $3,059.80 | $3,950.66 | |
Providence
| Facility | $2,250.04 | $3,059.80 | $5,389.64 |
Level 3 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,250.04 | $3,059.80 | $3,950.66 | |
Providence
| Facility | $2,250.04 | $3,059.80 | $5,389.64 |