| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,082.49 | $1,082.49 | $8,500.00 | |
Medica
| Facility | $1,082.49 | $1,529.28 | $3,247.47 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,082.49 | $1,082.49 | $8,500.00 | |
Medica
| Facility | $1,082.49 | $1,529.28 | $3,247.47 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |