| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $785.00 | $5,711.00 | $7,826.00 | |
Medical Mutual of Ohio
| Professional | $1,212.49 | $1,212.49 | $1,212.49 |
Fstlj Sclera Glaucoma Iridencleisis/Iridotasis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $785.00 | $5,711.00 | $7,826.00 | |
Medical Mutual of Ohio
| Professional | $1,212.49 | $1,212.49 | $1,212.49 |