| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,078.51 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,305.57 | $1,581.62 | $8,455.45 | |
Providence
| Facility | $1,581.62 | $1,581.62 | $8,455.45 |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,078.51 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,305.57 | $1,581.62 | $8,455.45 | |
Providence
| Facility | $1,581.62 | $1,581.62 | $8,455.45 |