| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $133.50 | $133.50 | $133.50 |
United
| Professional | AA | $85.00 | $85.00 | $85.00 |
Anesthesia Eye Not Otherwise Specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $133.50 | $133.50 | $133.50 |
United
| Professional | AA | $85.00 | $85.00 | $85.00 |