| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,757.90 | $2,757.90 | $3,304.27 | |
Hally Health
| Professional | $100.00 | $200.00 | $509.26 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |
Fstlj Sclera Glaucoma Iridencleisis/Iridotasis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,757.90 | $2,757.90 | $3,304.27 | |
Hally Health
| Professional | $100.00 | $200.00 | $509.26 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |