| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $726.17 | $1,597.36 | $1,597.36 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $726.17 | $1,597.36 | $1,597.36 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |