| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.40 | $1,071.40 | $2,300.00 | |
CareSource
| Facility | $1,108.68 | $1,205.50 | $1,313.40 | |
Cigna
| Facility | $1,197.86 | $1,197.86 | $1,197.86 |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.40 | $1,071.40 | $2,300.00 | |
CareSource
| Facility | $1,108.68 | $1,205.50 | $1,313.40 | |
Cigna
| Facility | $1,197.86 | $1,197.86 | $1,197.86 |