| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.50 | $5,109.00 | $9,860.00 | |
Horizon BCBS
| Facility | $5,198.14 | $10,816.89 | $12,299.42 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |
Rpr Lac Cjnc W/Wo Nonperfor Lac Sclera Dir Clsr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.50 | $5,109.00 | $9,860.00 | |
Horizon BCBS
| Facility | $5,198.14 | $10,816.89 | $12,299.42 | |
United
| Facility | $3,885.00 | $7,250.00 | $10,536.00 |