| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,679.71 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,130.52 | $1,363.28 | $7,360.12 | |
Providence
| Facility | $1,363.28 | $1,363.28 | $7,360.12 |
Repair of scleral staphyloma; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,679.71 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,130.52 | $1,363.28 | $7,360.12 | |
Providence
| Facility | $1,363.28 | $1,363.28 | $7,360.12 |