| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,043.19 | $1,043.19 | $1,043.19 | |
Providence
| Facility | $636.78 | $798.66 | $1,043.19 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |
Severing Ads Ant Seg Incal Spx Corneovitreal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,043.19 | $1,043.19 | $1,043.19 | |
Providence
| Facility | $636.78 | $798.66 | $1,043.19 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |