| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,884.03 | $3,019.95 | $3,630.78 | |
Molina
| Professional | $39.81 | $39.81 | $50.12 | |
Wellpoint
| Professional | $933.25 | $933.25 | $933.25 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,884.03 | $3,019.95 | $3,630.78 | |
Molina
| Professional | $39.81 | $39.81 | $50.12 | |
Wellpoint
| Professional | $933.25 | $933.25 | $933.25 |