| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $13,856.83 | $18,143.66 | $25,113.76 | |
United
| Facility | $4,286.00 | $18,324.93 | $21,905.24 |
Other Disorders Of The Eye With Mcc Or Thrombolytic Agent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $13,856.83 | $18,143.66 | $25,113.76 | |
United
| Facility | $4,286.00 | $18,324.93 | $21,905.24 |