| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $575.44 | $575.44 | $645.65 |
Anesthesia for procedures on eye; vitreoretinal surgery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $575.44 | $575.44 | $645.65 |