| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $851.14 | $933.25 | $1,071.52 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $851.14 | $933.25 | $1,071.52 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |