| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,203.45 | $1,203.45 | $3,550.00 | |
CareSource
| Facility | $1,241.76 | $1,353.77 | $1,474.96 | |
Cigna
| Facility | $1,336.33 | $1,336.33 | $1,336.33 |
Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,203.45 | $1,203.45 | $3,550.00 | |
CareSource
| Facility | $1,241.76 | $1,353.77 | $1,474.96 | |
Cigna
| Facility | $1,336.33 | $1,336.33 | $1,336.33 |