| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.51 | $42.51 | $42.51 | |
Cigna
| Facility | $20.88 | $20.88 | $20.88 | |
Cigna
| Professional | $79.53 | $79.53 | $79.53 | |
United
| Professional | $21.03 | $64.40 | $64.70 |
Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.51 | $42.51 | $42.51 | |
Cigna
| Facility | $20.88 | $20.88 | $20.88 | |
Cigna
| Professional | $79.53 | $79.53 | $79.53 | |
United
| Professional | $21.03 | $64.40 | $64.70 |