| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.58 | $687.58 | $8,500.00 | |
Medica
| Facility | $687.58 | $894.78 | $2,062.73 | |
United
| Facility | $3,228.00 | $3,810.00 | $5,753.00 |
Evisceration of ocular contents; with implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.58 | $687.58 | $8,500.00 | |
Medica
| Facility | $687.58 | $894.78 | $2,062.73 | |
United
| Facility | $3,228.00 | $3,810.00 | $5,753.00 |