| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $802.77 | $802.77 | $10,000.00 | |
Medica
| Facility | $802.77 | $975.65 | $1,364.71 |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $802.77 | $802.77 | $10,000.00 | |
Medica
| Facility | $802.77 | $975.65 | $1,364.71 |