| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $803.99 | $803.99 | $803.99 | |
Medcost
| Professional | $877.00 | $979.00 | $1,062.00 |
Repair Of Scleral Staphyloma; Without Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $803.99 | $803.99 | $803.99 | |
Medcost
| Professional | $877.00 | $979.00 | $1,062.00 |