| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $707.95 | $707.95 | $707.95 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $707.95 | $707.95 | $707.95 |