| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.43 | $694.43 | $8,500.00 | |
Medica
| Facility | $694.43 | $885.49 | $2,083.29 | |
United
| Facility | $3,228.00 | $3,228.00 | $3,228.00 |
Evisceration Ocular Contents W/O Implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.43 | $694.43 | $8,500.00 | |
Medica
| Facility | $694.43 | $885.49 | $2,083.29 | |
United
| Facility | $3,228.00 | $3,228.00 | $3,228.00 |