| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $803.99 | $803.99 | $803.99 | |
Kaiser Permanente
| Professional | $1,016.57 | $1,016.57 | $1,016.57 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $803.99 | $803.99 | $803.99 | |
Kaiser Permanente
| Professional | $1,016.57 | $1,016.57 | $1,016.57 |