| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $804.18 | $977.31 | $5,205.09 | |
Providence
| Facility | $977.31 | $977.31 | $5,205.09 |
Severing Ads Ant Seg Incal Spx Corneovitreal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $804.18 | $977.31 | $5,205.09 | |
Providence
| Facility | $977.31 | $977.31 | $5,205.09 |