| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,097.47 | $1,097.47 | $8,500.00 | |
Medica
| Facility | $1,097.47 | $1,445.16 | $2,471.00 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
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 | $1,097.47 | $1,097.47 | $8,500.00 | |
Medica
| Facility | $1,097.47 | $1,445.16 | $2,471.00 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |