| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.57 | $22.57 | $22.57 | |
Aetna
| Professional | $22.57 | $22.57 | $42.51 | |
United
| Professional | $34.36 | $39.40 | $64.81 |
Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.57 | $22.57 | $22.57 | |
Aetna
| Professional | $22.57 | $22.57 | $42.51 | |
United
| Professional | $34.36 | $39.40 | $64.81 |