| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,114.52 | $3,083.82 | $4,567.37 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |
Level 4 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,114.52 | $3,083.82 | $4,567.37 | |
Kaiser Permanente
| Facility | $100.00 | $120.00 | $130.00 |