| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.71 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $11,351.18 | $12,544.29 | $27,202.13 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |
Repair of scleral staphyloma; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,159.71 | $6,625.00 | $11,298.00 | |
Horizon BCBS
| Facility | $11,351.18 | $12,544.29 | $27,202.13 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |