| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.94 | $44.94 | $44.94 | |
Aetna
| Professional | $44.94 | $44.94 | $84.66 | |
United
| Facility | $111.29 | $652.00 | $2,558.00 | |
United
| Professional | $66.88 | $81.42 | $127.98 |
Optical coherence tomography (OCT) of middle ear, with interpretation and report; bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.94 | $44.94 | $44.94 | |
Aetna
| Professional | $44.94 | $44.94 | $84.66 | |
United
| Facility | $111.29 | $652.00 | $2,558.00 | |
United
| Professional | $66.88 | $81.42 | $127.98 |