| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,479.11 | $1,659.59 | $2,089.30 | |
Medica
| Professional | $6,165.95 | $6,165.95 | $6,165.95 | |
Sanford Health Plan
| Professional | $758.58 | $1,000.00 | $1,230.27 |
Repair Scleral Staphyloma W/O Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,479.11 | $1,659.59 | $2,089.30 | |
Medica
| Professional | $6,165.95 | $6,165.95 | $6,165.95 | |
Sanford Health Plan
| Professional | $758.58 | $1,000.00 | $1,230.27 |