| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $257.04 | $295.12 | $3,090.30 |
Unlisted procedure, lacrimal system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $257.04 | $295.12 | $3,090.30 |