| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,239.83 | $1,239.83 | $1,239.83 | |
Providence
| Facility | $1,239.83 | $1,239.83 | $1,239.83 | |
United
| Facility | $964.12 | $1,450.00 | $4,561.46 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,239.83 | $1,239.83 | $1,239.83 | |
Providence
| Facility | $1,239.83 | $1,239.83 | $1,239.83 | |
United
| Facility | $964.12 | $1,450.00 | $4,561.46 |