| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.58 | $284.14 | $8,500.00 | |
Medica
| Facility | $141.58 | $284.14 | $566.71 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |
Rpr Lac Cjnc W/Wo Nonperfor Lac Sclera Dir Clsr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.58 | $284.14 | $8,500.00 | |
Medica
| Facility | $141.58 | $284.14 | $566.71 | |
United
| Facility | $2,545.00 | $2,545.00 | $2,545.00 |