| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $1,045.58 | $1,140.65 | $1,330.76 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 |
Repair of scleral staphyloma; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $1,045.58 | $1,140.65 | $1,330.76 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 |