| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $831.63 | $1,013.90 | $5,353.19 | |
Providence
| Facility | $1,013.90 | $1,013.90 | $5,353.19 |
Scleral Reinforcement Spx W/Graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $831.63 | $1,013.90 | $5,353.19 | |
Providence
| Facility | $1,013.90 | $1,013.90 | $5,353.19 |