| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,110.51 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,321.57 | $1,603.71 | $8,543.35 | |
Providence
| Facility | $1,603.71 | $1,603.71 | $8,543.35 |
Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,110.51 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,321.57 | $1,603.71 | $8,543.35 | |
Providence
| Facility | $1,603.71 | $1,603.71 | $8,543.35 |