| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,811.31 | $9,859.00 | |
Anthem BCBS
| Facility | $10,334.70 | $11,483.00 | $21,862.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |
Impltj Intravitreal Drug Dlvr Sys Rmvl Vts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,811.31 | $9,859.00 | |
Anthem BCBS
| Facility | $10,334.70 | $11,483.00 | $21,862.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |