| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.32 | $667.32 | $8,500.00 | |
Medica
| Facility | $667.32 | $799.66 | $2,001.96 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
Severing Ads Ant Seg Incal Spx Corneovitreal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.32 | $667.32 | $8,500.00 | |
Medica
| Facility | $667.32 | $799.66 | $2,001.96 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |