| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
United
| Facility | $3,599.00 | $8,699.00 | $12,680.00 |
Aqueous Shunt Extraocular Reservoir W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
United
| Facility | $3,599.00 | $8,699.00 | $12,680.00 |