| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,027.10 | $5,027.10 | $6,023.04 | |
Hally Health
| Professional | $100.00 | $200.00 | $918.22 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |
Surgery-Eye & Ocular Adnexa
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $5,027.10 | $5,027.10 | $6,023.04 | |
Hally Health
| Professional | $100.00 | $200.00 | $918.22 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |