| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.84 | $54.61 | $78.16 | |
BCBS
| Professional | $215.00 | $215.00 | $215.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $55.02 | $67.13 | $90.23 |
Visual evoked potential, screening of visual acuity, automated, with report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.84 | $54.61 | $78.16 | |
BCBS
| Professional | $215.00 | $215.00 | $215.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $55.02 | $67.13 | $90.23 |