| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $712.05 | $712.05 | $712.05 |
Insert Anter Drainage Dev W/O Extraoc Reservoir
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $712.05 | $712.05 | $712.05 |