| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $1,190.85 | $1,190.85 | $1,190.85 | |
United
| Facility | $899.00 | $8,842.00 | $16,897.00 |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,095.00 | $7,838.38 | |
Providence
| Facility | $1,190.85 | $1,190.85 | $1,190.85 | |
United
| Facility | $899.00 | $8,842.00 | $16,897.00 |