| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.98 | $660.98 | $2,300.00 | |
CareSource
| Facility | $681.92 | $740.66 | $806.96 | |
Cigna
| Facility | $739.67 | $739.67 | $739.67 |
Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.98 | $660.98 | $2,300.00 | |
CareSource
| Facility | $681.92 | $740.66 | $806.96 | |
Cigna
| Facility | $739.67 | $739.67 | $739.67 |