| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.33 | $62.48 | $103.21 | |
Medica
| Facility | $47.03 | $55.33 | $60.86 | |
Medica
| Professional | $57.74 | $67.13 | $140.60 | |
United
| Professional | $55.58 | $65.70 | $92.00 |
Visual evoked potential, screening of visual acuity, automated, with report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.33 | $62.48 | $103.21 | |
Medica
| Facility | $47.03 | $55.33 | $60.86 | |
Medica
| Professional | $57.74 | $67.13 | $140.60 | |
United
| Professional | $55.58 | $65.70 | $92.00 |