| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,011.87 | $5,011.87 | $6,025.60 | |
Hally Health
| Professional | $120.23 | $346.74 | $954.99 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |
Rpr Retinal Dtchmnt Scleral Buckling/Vitrectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,011.87 | $5,011.87 | $6,025.60 | |
Hally Health
| Professional | $120.23 | $346.74 | $954.99 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |