| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $663.69 | $663.69 | $3,550.00 | |
CareSource
| Facility | $693.26 | $754.00 | $821.49 | |
Cigna
| Facility | $747.13 | $747.13 | $747.13 |
Release of extensive scar tissue without detaching extraocular muscle (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $663.69 | $663.69 | $3,550.00 | |
CareSource
| Facility | $693.26 | $754.00 | $821.49 | |
Cigna
| Facility | $747.13 | $747.13 | $747.13 |