| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.17 | $70.52 | $70.52 | |
United
| Professional | $66.00 | $115.99 | $144.00 |
Visual evoked potential, screening of visual acuity, automated, with report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.17 | $70.52 | $70.52 | |
United
| Professional | $66.00 | $115.99 | $144.00 |