| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.37 | $659.37 | $10,000.00 | |
Medica
| Facility | $637.50 | $811.90 | $1,978.11 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
Release of extensive scar tissue without detaching extraocular muscle (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $659.37 | $659.37 | $10,000.00 | |
Medica
| Facility | $637.50 | $811.90 | $1,978.11 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |