| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,251.75 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $1,375.81 | $1,663.50 | $8,931.31 | |
Providence
| Facility | $1,663.50 | $1,663.50 | $8,931.31 |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,251.75 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $1,375.81 | $1,663.50 | $8,931.31 | |
Providence
| Facility | $1,663.50 | $1,663.50 | $8,931.31 |