| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $767.22 | $900.87 | $1,002.00 | |
MVP Health Care
| Professional | $687.83 | $979.22 | $987.74 | |
United
| Professional | $799.51 | $1,044.57 | $1,592.74 |
Ocular Surface Reconstruction Amniotic Membrane
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $767.22 | $900.87 | $1,002.00 | |
MVP Health Care
| Professional | $687.83 | $979.22 | $987.74 | |
United
| Professional | $799.51 | $1,044.57 | $1,592.74 |