| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,142.34 | $1,142.34 | $8,500.00 | |
Medica
| Facility | $1,142.34 | $1,429.18 | $3,427.05 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,142.34 | $1,142.34 | $8,500.00 | |
Medica
| Facility | $1,142.34 | $1,429.18 | $3,427.05 | |
United
| Facility | $4,640.00 | $4,640.00 | $4,640.00 |