| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,461.20 | $1,461.20 | $1,461.20 | |
Providence
| Facility | $901.30 | $1,124.99 | $2,308.50 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |
Repair of scleral staphyloma; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,461.20 | $1,461.20 | $1,461.20 | |
Providence
| Facility | $901.30 | $1,124.99 | $2,308.50 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |