| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,098.40 | $1,098.40 | $1,098.40 | |
Providence
| Facility | $707.15 | $980.00 | $1,539.00 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |
Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,098.40 | $1,098.40 | $1,098.40 | |
Providence
| Facility | $707.15 | $980.00 | $1,539.00 | |
United
| Facility | $1,450.00 | $1,450.00 | $1,450.00 |