| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,537.42 | $4,878.20 | $10,018.61 | |
Cigna
| Facility | $9,279.79 | $9,279.79 | $9,279.79 | |
Medical Mutual of Ohio
| Facility | $9,279.79 | $9,279.79 | $9,279.79 |
Level 4 Extraocular, Repair, and Plastic Eye Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,537.42 | $4,878.20 | $10,018.61 | |
Cigna
| Facility | $9,279.79 | $9,279.79 | $9,279.79 | |
Medical Mutual of Ohio
| Facility | $9,279.79 | $9,279.79 | $9,279.79 |