| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,168.84 | $1,168.84 | $1,168.84 | |
Providence
| Facility | $659.43 | $957.60 | $1,168.84 | |
United
| Facility | $1,490.00 | $1,490.00 | $1,490.00 |
Evisceration Ocular Contents W/O Implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,168.84 | $1,168.84 | $1,168.84 | |
Providence
| Facility | $659.43 | $957.60 | $1,168.84 | |
United
| Facility | $1,490.00 | $1,490.00 | $1,490.00 |