| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $869.12 | $5,982.00 | $10,871.00 | |
Horizon BCBS
| Facility | $4,622.47 | $5,340.39 | $6,304.39 | |
United
| Facility | $2,500.00 | $5,771.00 | $10,105.00 |
Revj Shunt Extraocular Reservoir W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $869.12 | $5,982.00 | $10,871.00 | |
Horizon BCBS
| Facility | $4,622.47 | $5,340.39 | $6,304.39 | |
United
| Facility | $2,500.00 | $5,771.00 | $10,105.00 |