| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.57 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $273.64 | $372.97 | $590.79 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.57 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $273.64 | $372.97 | $590.79 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 |