| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,180.13 | $1,180.13 | $2,300.00 | |
CareSource
| Facility | $1,222.95 | $1,328.39 | $1,447.31 | |
Cigna
| Facility | $1,325.00 | $1,325.00 | $1,325.00 |
Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,180.13 | $1,180.13 | $2,300.00 | |
CareSource
| Facility | $1,222.95 | $1,328.39 | $1,447.31 | |
Cigna
| Facility | $1,325.00 | $1,325.00 | $1,325.00 |