| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $698.86 | $799.49 | $852.10 | |
United
| Professional | $567.73 | $703.05 | $1,492.51 |
Ocular surface reconstruction; amniotic membrane transplantation, multiple layers
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $698.86 | $799.49 | $852.10 | |
United
| Professional | $567.73 | $703.05 | $1,492.51 |