| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $780.06 | $1,220.36 | $1,684.49 |
Fstlj Sclera Glaucoma Iridencleisis/Iridotasis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $780.06 | $1,220.36 | $1,684.49 |