| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,368.23 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $1,115.07 | $1,291.14 | $2,461.73 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
Aqueous Shunt Extraocular Reservoir W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,368.23 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $1,115.07 | $1,291.14 | $2,461.73 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |