| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |