| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,689.40 | $1,689.40 | $1,689.40 | |
Providence
| Facility | $1,689.40 | $1,689.40 | $1,689.40 | |
United
| Facility | $2,090.00 | $2,090.00 | $2,090.00 |
Aqueous Shunt Extraocular Reservoir W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,689.40 | $1,689.40 | $1,689.40 | |
Providence
| Facility | $1,689.40 | $1,689.40 | $1,689.40 | |
United
| Facility | $2,090.00 | $2,090.00 | $2,090.00 |