| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $1,243.02 | $1,491.37 | $1,575.26 | |
United
| Professional | $975.62 | $1,171.57 | $2,981.31 |
Ocular Surface Reconstruction Limbal Allograft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $1,243.02 | $1,491.37 | $1,575.26 | |
United
| Professional | $975.62 | $1,171.57 | $2,981.31 |