| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,643.00 | $3,353.00 | $8,517.00 | |
Cigna
| Professional | $803.99 | $803.99 | $966.41 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,643.00 | $3,353.00 | $8,517.00 | |
Cigna
| Professional | $803.99 | $803.99 | $966.41 |