| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,009.46 | $1,009.46 | $1,009.46 | |
Cigna
| Facility | $1,588.54 | $1,588.54 | $1,588.54 |
Release of extensive scar tissue without detaching extraocular muscle (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,009.46 | $1,009.46 | $1,009.46 | |
Cigna
| Facility | $1,588.54 | $1,588.54 | $1,588.54 |