| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.58 | $931.58 | $2,300.00 | |
CareSource
| Facility | $961.33 | $1,046.24 | $1,139.90 | |
Cigna
| Facility | $1,037.04 | $1,037.04 | $1,037.04 |
Repair of scleral staphyloma; with graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.58 | $931.58 | $2,300.00 | |
CareSource
| Facility | $961.33 | $1,046.24 | $1,139.90 | |
Cigna
| Facility | $1,037.04 | $1,037.04 | $1,037.04 |