| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $712.05 | $712.05 | $712.05 | |
United
| Facility | $4,561.46 | $4,561.46 | $4,561.46 |
Revj Aqueous Shunt Extraocular Reservoir W/Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $712.05 | $712.05 | $712.05 | |
United
| Facility | $4,561.46 | $4,561.46 | $4,561.46 |