| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,246.17 | $4,098.53 | $5,695.83 | |
Health Partners
| Facility | $2,926.08 | $3,618.80 | $4,640.10 |
Level 4 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,246.17 | $4,098.53 | $5,695.83 | |
Health Partners
| Facility | $2,926.08 | $3,618.80 | $4,640.10 |